S31.42XD vs S38.2
S31.42XD (Laceration with foreign body of vagina and vulva, subsequent encounter) compared with S38.2 (Traumatic amputation of external genital organs), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. S31.42XD carries an Excludes1 note covering S38.2: “traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| S31.42XDLaceration with foreign body of vagina and vulva, subsequent encounter | S38.2Traumatic amputation of external genital organs | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S38.211A, S38.211D, S38.211S, S38.212A, S38.212D |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Laceration with foreign body of vagina and vulva, subsequent encounter is a billable ICD-10-CM diagnosis code (S31.42D). | Traumatic amputation of external genital organs is a non-billable ICD-10-CM category code (S38.2). |
| 7th character | The appropriate 7th character is to be added to each code from category S31 | The appropriate 7th character is to be added to each code from category S38 |
| Includes | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources