S38.1 — Crushing injury of abdomen, lower back, and pelvis
S38.1 is a non-billable header ICD-10-CM code for crushing injury of abdomen, lower back, and pelvis. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S38
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- crushing injury of external genital organs (S38.0-)
Use additional code
Add a secondary code to capture the detail described below.
Risk adjustment
S38.1 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.
How S38.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S38.1.
- Crush, crushed, crushing›abdomen
- Crush, crushed, crushing›back, lower
- Crush, crushed, crushing›buttock
- Crush, crushed, crushing›pelvis
- Crush, crushed, crushing›lower›back
Code to one of these instead S38.1
3 child codes. Green means billable.
Related codes at this level
Codes that share S38. If S38.1 is not quite right, the correct code is usually one of these.
Questions about S38.1
- Is S38.1 a billable ICD-10-CM code?
- No. S38.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S38.1 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).