S38.222A (Partial traumatic amputation of penis, initial encounter) compared with S38.222D (Partial traumatic amputation of penis, subsequent encounter), from the official CMS tabular data. S38.222A and S38.222D code the same injury at a different phase of treatment.
Same underlying diagnosis, different encounter phase.
The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.
Source: ICD-10-CM Official Guidelines, Section I.C.19.a
Same injury, other encounter phase. S38.222A and S38.222D code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
| S38.222APartial traumatic amputation of penis, initial encounter | S38.222DPartial traumatic amputation of penis, subsequent encounter | |
|---|---|---|
| Billing status | Billable | Billable |
| 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 | Partial traumatic amputation of penis, initial encounter is a billable ICD-10-CM diagnosis code (S38.222A). | Partial traumatic amputation of penis, subsequent encounter is a billable ICD-10-CM diagnosis code (S38.222D). |
| 7th character | The appropriate 7th character is to be added to each code from category S38 | 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