S38.01XA
S38.01XA — Crushing injury of penis, initial encounter
Billable / specific codeICD-10-CM
S38.01XA is a billable, specific ICD-10-CM code for crushing injury of penis, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S38
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S38.01XA 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
S38.01XA 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.
- A56459Billing and Coding: Debridement Services
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
- A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies
Related codes at this level
Codes that share S38.01. If S38.01XA is not quite right, the correct code is usually one of these.
Questions about S38.01XA
- Is S38.01XA a billable ICD-10-CM code?
- Yes. S38.01XA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S38.01XA 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).