S38.1XXA

S38.1XXA: Crushing injury of abdomen, lower back, and pelvis, initial encounter

Billable / specific codeICD-10-CM

S38.1XXA is a billable, specific ICD-10-CM code for crushing injury of abdomen, lower back, and pelvis, initial encounter. It is valid for submission on a claim.

Check S38.1XXA with the rest of the claim: free scrubber

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

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.

code for all associated injuries, such as:
fracture of thoracic or lumbar spine and pelvis (S22.0-, S32.-)
injury to intra-abdominal organs (S36.-)
injury to urinary and pelvic organs (S37.-)
open wound of abdominal wall (S31.-)
spinal cord injury (S34.0, S34.1-)

Excludes2 inherited from the categories above S38.1XXA

Not part of this code, but both may be coded when both are present.

Written on S38.1: Crushing injury of abdomen, lower back, and pelvis

crushing injury of external genital organs (S38.0-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S38.1XXA is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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
A57206Billing and Coding: Lumbar MRI

Code history

Unchanged in every release from FY2024 to FY2027.