S38.231A vs S38.231D
S38.231A (Complete traumatic amputation of scrotum and testis, initial encounter) compared with S38.231D (Complete traumatic amputation of scrotum and testis, subsequent encounter), from the official CMS tabular data. S38.231A and S38.231D code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S38.231A and S38.231D 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.
Side by side
| S38.231AComplete traumatic amputation of scrotum and testis, initial encounter | S38.231DComplete traumatic amputation of scrotum and testis, 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 | Complete traumatic amputation of scrotum and testis, initial encounter is a billable ICD-10-CM diagnosis code (S38.231A). | Complete traumatic amputation of scrotum and testis, subsequent encounter is a billable ICD-10-CM diagnosis code (S38.231D). |
| 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