S39: Other and unspecified injuries of abdomen, lower back, pelvis and external genitals
S39 is a non-billable header ICD-10-CM code for other and unspecified injuries of abdomen, lower back, pelvis and external genitals. 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 S39
- 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.
- sprain of joints and ligaments of lumbar spine and pelvis (S33.-)
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- any associated open wound (S31.-)
Other codes that can never be billed with S39
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M54.5Low back pain
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S39
3 child codes. Green means billable.