DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

S38 Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals

  • Header · not billable
  • Codes take a 7th character

S38 is not billable. The category heads 39 billable codes in FY2027, grouped under 4 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

  • Castration, traumatic, male → S38.231
  • Transectionabdomen (partial) → S38.3
  • Crush, crushed, crushingpenis → S38.01

Where it sits

  1. Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
  2. S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
  3. S38 Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals
Billable codes
39
Subdivisions
4
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
42

Codes in S38

  1. S38.0
    Crushing injury of external genital organs
    Header
    Use additional code 1

    Use additional code

    • code for any associated injuries
  2. S38.00
    Crushing injury of unspecified external genital organs
    Header
  3. S38.001
    Crushing injury of unspecified external genital organs, male +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  4. S38.002
    Crushing injury of unspecified external genital organs, female +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  5. S38.01
    Crushing injury of penis +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  6. S38.02
    Crushing injury of scrotum and testis +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  7. S38.03
    Crushing injury of vulva +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  8. S38.1
    Crushing injury of abdomen, lower back, and pelvis +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
    Excludes2 1, Use additional code 6

    Excludes2

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

    Use additional code

    • code for all associated injuries, such as:
    • fracture of thoracic or lumbar spine and pelvis (S22.0-, S32.-) S22.0 S32
    • injury to intra-abdominal organs (S36.-) S36
    • injury to urinary and pelvic organs (S37.-) S37
    • open wound of abdominal wall (S31.-) S31
    • spinal cord injury (S34.0, S34.1-) S34.0 S34.1
  9. S38.2
    Traumatic amputation of external genital organs
    Header
  10. S38.21
    Traumatic amputation of female external genital organs
    Header
    Inclusion terms 3

    Inclusion terms

    • Traumatic amputation of clitoris
    • Traumatic amputation of labium (majus) (minus)
    • Traumatic amputation of vulva
  11. S38.211
    Complete traumatic amputation of female external genital organs +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  12. S38.212
    Partial traumatic amputation of female external genital organs +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  13. S38.22
    Traumatic amputation of penis
    Header
  14. S38.221
    Complete traumatic amputation of penis +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  15. S38.222
    Partial traumatic amputation of penis +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  16. S38.23
    Traumatic amputation of scrotum and testis
    Header
  17. S38.231
    Complete traumatic amputation of scrotum and testis +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  18. S38.232
    Partial traumatic amputation of scrotum and testis +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  19. S38.3
    Transection (partial) of abdomen +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At S38

Inclusion terms

  • An amputation not identified as partial or complete should be coded to complete

Notes that also apply

Block S30-S39 instructions (Includes 6, Excludes2 6): printed on the block page.

Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.

7th characters

7th characters for S38 defined here

The appropriate 7th character is to be added to each code from category S38

7th characters for S38
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Castration, traumatic, male → S38.231
  • Crush, crushed, crushingpenis → S38.01
  • Crush, crushed, crushingscrotum → S38.02
  • Crush, crushed, crushingtestis → S38.02
  • Crush, crushed, crushinglabium (majus) (minus) → S38.03
  • Crush, crushed, crushingvagina → S38.03
  • Crush, crushed, crushingvulva → S38.03
  • Crush, crushed, crushingabdomen → S38.1
  • Crush, crushed, crushingback, lower → S38.1
  • Crush, crushed, crushingbuttock → S38.1
  • Crush, crushed, crushingpelvis → S38.1
  • Transectionabdomen (partial) → S38.3
  • Crush, crushed, crushinggenitalia, externalmale → S38.001
  • Crush, crushed, crushinggenitalia, externalfemale → S38.002
  • Injuryvaginacrush → S38.03
  • Injuryvulvacrush → S38.03
  • Crush, crushed, crushinglowerback → S38.1
  • Amputationtraumatic (complete) (partial)labium (majus) (minus) (complete) → S38.21-
  • Amputationtraumatic (complete) (partial)clitoris (complete) → S38.211
  • Amputationtraumatic (complete) (partial)vulva (complete) → S38.211
  • Amputationtraumatic (complete) (partial)penis (complete) → S38.221
  • Amputationtraumatic (complete) (partial)scrotum (complete) → S38.231
  • Amputationtraumatic (complete) (partial)testes (complete) → S38.231
  • Crush, crushed, crushinggenitalia, externalmalepenis → S38.01
  • Crush, crushed, crushinggenitalia, externalmalescrotum → S38.02
  • Crush, crushed, crushinggenitalia, externalmaletestis → S38.02
  • Crush, crushed, crushinggenitalia, externalfemalevagina → S38.03
  • Crush, crushed, crushinggenitalia, externalfemalevulva → S38.03
  • Amputationtraumatic (complete) (partial)labium (majus) (minus) (complete)partial → S38.21-
  • Amputationtraumatic (complete) (partial)genital organ(s) (external)female (complete) → S38.211
  • Amputationtraumatic (complete) (partial)clitoris (complete)partial → S38.212
  • Amputationtraumatic (complete) (partial)vulva (complete)partial → S38.212
  • Amputationtraumatic (complete) (partial)penis (complete)partial → S38.222
  • Amputationtraumatic (complete) (partial)scrotum (complete)partial → S38.232
  • Amputationtraumatic (complete) (partial)testes (complete)partial → S38.232
  • Amputationtraumatic (complete) (partial)genital organ(s) (external)female (complete)partial → S38.212
  • Amputationtraumatic (complete) (partial)genital organ(s) (external)malepenis (complete) → S38.221
  • Amputationtraumatic (complete) (partial)genital organ(s) (external)malescrotum (complete) → S38.231
  • Amputationtraumatic (complete) (partial)genital organ(s) (external)maletestes (complete) → S38.231
  • Amputationtraumatic (complete) (partial)genital organ(s) (external)malepenis (complete)partial → S38.222

2 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy