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Compare/S38.0 vs S38.1

S38.0 vs S38.1

S38.0 (Crushing injury of external genital organs) compared with S38.1 (Crushing injury of abdomen, lower back, and pelvis), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S38.1 carries an Excludes2 note covering S38.0: “crushing injury of external genital organs (S38.0-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S38.0Crushing injury of external genital organsS38.1Crushing injury of abdomen, lower back, and pelvis
Billing statusNon-billable header

Report instead: S38.001A, S38.001D, S38.001S, S38.002A, S38.002D

Non-billable header

Report instead: S38.1XXA, S38.1XXD, S38.1XXS

ClassificationS00-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)
DefinitionCrushing injury of external genital organs is a non-billable ICD-10-CM category code (S38.0).Crushing injury of abdomen, lower back, and pelvis is a non-billable ICD-10-CM category code (S38.1).
7th characterThe appropriate 7th character is to be added to each code from category S38The 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
Use additional code
code for any associated injuries
code for all associated injuries, such as:
fracture of thoracic or lumbar spine and pelvis (S22.0-, S32.-)
injury to intra-abdominal organs (S36.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources