S38.1XXS
S38.1XXS: Crushing injury of abdomen, lower back, and pelvis, sequela
Billable / specific codeICD-10-CMPOA exempt
S38.1XXS is a billable, specific ICD-10-CM code for crushing injury of abdomen, lower back, and pelvis, sequela. It is valid for submission on a claim.
Check S38.1XXS with the rest of the claim: free scrubber7th character "S": sequela
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
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S38.1XXS is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.