Is S30.12XS a billable ICD-10-CM code?

Yes. S30.12XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S30.12XS sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).

S30.12XS

S30.12XS — Contusion of groin, sequela

Billable / specific codeICD-10-CMPOA exempt

S30.12XS is a billable, specific ICD-10-CM code for contusion of groin, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category S30

A: initial encounter
D: subsequent encounter
S: sequela

Risk adjustment

S30.12XS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

S30.12XS is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56459Billing and Coding: Debridement Services
A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures

Related codes at this level

Codes that share S30.12. If S30.12XS is not quite right, the correct code is usually one of these.

Questions about S30.12XS

Is S30.12XS a billable ICD-10-CM code?: Yes. S30.12XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S30.12XS sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).