S30.842D
S30.842D: External constriction of penis, subsequent encounter
Billable / specific codeICD-10-CMPOA exempt
S30.842D is a billable, specific ICD-10-CM code for external constriction of penis, subsequent encounter. It is valid for submission on a claim.
Check S30.842D with the rest of the claim: free scrubber7th character "D": subsequent encounter
The appropriate 7th character is to be added to each code from category S30
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Use additional code
Add a secondary code to capture the detail described below.
- cause code to identify the constricting item (W49.0-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hair tourniquet syndrome of penis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S30.842D is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56459Billing and Coding: Debridement Services
Code history
Unchanged in every release from FY2024 to FY2027.