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S38.222 ICD-10-CM Code: Partial traumatic amputation of penis

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Coding at a Glance

7th character
Required — see the character table on this page
Tabular directives
6 inclusion terms · 6 Excludes2

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S38.222 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on S38.222 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • injuries to the abdominal wall
  • injuries to the anus
  • injuries to the buttock
  • injuries to the external genitalia
  • injuries to the flank
  • injuries to the groin

Source: inherited from S30-S39

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from S30-S39

7th Character Guide

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

  • A — initial encounter
  • D — subsequent encounter
  • S — sequela

How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.

ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).

Variant codes in this family

S38.222A, S38.222D, S38.222S

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Coder workflow for S38.222

MedCoder structured workflow — derived from this code’s own official record

Before you code S38.222

  1. S38.222 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewS38.222A, S38.222D, S38.222S

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. S38.222 is not valid without one. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).

    See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →

  3. Confirm the injury type, the anatomical site at the most specific level documented, laterality where the family codes it, and the encounter for the 7th character. Each injury is coded separately unless the classification provides a combination code, and a superficial injury is not coded when a more severe injury of the same site is documented. Injury chapter guidelines (Guidelines I.C.19.b, I.C.19.b.1).

    Guide: 7th characters: initial, subsequent, sequela →

Choose the right path

  1. Does the documentation support one of the more specific codes beneath S38.222?
    Yes → Select that code and continue the checks below on its own page.
    No → S38.222 cannot be reported as written; query for the specificity its subcategory needs.

    ReviewS38.222A, S38.222D, S38.222S

  2. Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
    Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
    No → The code is invalid without its 7th character — query for the missing element.

Consider S38.222. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Anatomical site
At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
Encounter type
Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).
External cause, place and activity
For the external cause codes reported with the injury or poisoning, where documented (Guidelines I.C.20.a).

Official instructions as workflow

  • Excludes2 — not part of S38.222(6 notes)

    Coding workflow: The conditions named in this note are not included in S38.222. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareT18.5, T19, T63.4

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The patient returns during the healing or recovery phase after active treatment of the same condition.

Coding question: Which 7th character applies?

Path: Review the official 7th-character definitions for this family in the 7th Character Guide.

Reason: “Initial encounter” means active treatment, not the first visit; care during recovery takes “subsequent encounter”, and a complication arising from the original condition takes “sequela” (Guidelines I.C.19.a).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse S38.222 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of S38.222 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • S38.222A— Encounter relationship (Review)

    Same underlying diagnosis, different encounter phase.

    The same diagnosis at a different phase of care; one encounter takes one 7th character.

    What moves you there: Documentation of a initial encounter moves the case to S38.222A.

    Full comparison: S38.222 vs S38.222A →

  • S38.222D— Encounter relationship (Review)

    Same underlying diagnosis, different encounter phase.

    The same diagnosis at a different phase of care; one encounter takes one 7th character.

    What moves you there: Documentation of a subsequent encounter moves the case to S38.222D.

    Full comparison: S38.222 vs S38.222D →

  • T20— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of burns and corrosions adds T20; it is not part of this code and both may be reported when both are documented.

    Full comparison: S38.222 vs T20 →

  • T32— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of burns and corrosions adds T32; it is not part of this code and both may be reported when both are documented.

    Full comparison: S38.222 vs T32 →

  • T18.5— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of effects of foreign body in anus and rectum adds T18.5; it is not part of this code and both may be reported when both are documented.

    Full comparison: S38.222 vs T18.5 →

  • T19— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of effects of foreign body in genitourinary tract adds T19; it is not part of this code and both may be reported when both are documented.

    Full comparison: S38.222 vs T19 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Partial traumatic amputation of penis is a non-billable ICD-10-CM category code (S38.222). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name S38.222 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: S31 — Open wound of abdomen, lower back, pelvis and external genitals (via S38.2.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Related Codes

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Amputation”; these codes share that main term but sit in a different category of the Tabular List.

S08.0 — Avulsion of scalp (traumatic, head, part, scalp), S08.11 — Complete traumatic amputation of ear (traumatic, ear), S08.12 — Partial traumatic amputation of ear (traumatic, ear, partial), S08.811 — Complete traumatic amputation of nose (traumatic, nose, complete), S08.812 — Partial traumatic amputation of nose (traumatic, nose), S08.89 — Traumatic amputation of other parts of head (traumatic, head, part), S28.1 — Traumatic amputation (partial) of part of thorax, except breast (traumatic, thorax, part of), S28.21 — Complete traumatic amputation of breast (traumatic, breast), S28.22 — Partial traumatic amputation of breast (traumatic, breast, partial), S48.01 — Complete traumatic amputation at shoulder joint (traumatic, arm, at, shoulder joint), S48.02 — Partial traumatic amputation at shoulder joint (traumatic, arm, at, shoulder joint, partial), S48.11 — Complete traumatic amputation at level between shoulder and elbow (traumatic, arm, between, shoulder and elbow), S48.12 — Partial traumatic amputation at level between shoulder and elbow (traumatic, arm, between, shoulder and elbow, partial), S48.91 — Complete traumatic amputation of shoulder and upper arm, level unspecified (traumatic, arm), S48.92 — Partial traumatic amputation of shoulder and upper arm, level unspecified (traumatic, arm, partial), S58.01 — Complete traumatic amputation at elbow level (traumatic, arm, at, elbow), S58.02 — Partial traumatic amputation at elbow level (traumatic, arm, at, elbow, partial), S58.11 — Complete traumatic amputation at level between elbow and wrist (traumatic, arm, between, elbow and wrist), S58.12 — Partial traumatic amputation at level between elbow and wrist (traumatic, arm, between, elbow and wrist, partial), S58.91 — Complete traumatic amputation of forearm, level unspecified (traumatic, forearm), +38 more

Contextual Map

Every relationship of S38.222 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run S38.222 with this related code in Claim Check

Hierarchy

Referenced by Excludes1 notes

Index entries

  • Amputation, traumatic (complete) (partial), genital organ (s) (external), male, penis (complete), partial[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Amputation, traumatic (complete) (partial), penis (complete), partial[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Can S38.222 be billed directly?

No. S38.222 (Partial traumatic amputation of penis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S38.222 require a 7th character?

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

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "S38.222 — Partial traumatic amputation of penis." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/s38.222-partial-traumatic-amputation-of-penis

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Partial traumatic amputation of penis

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S38.222 in its code family, with their registry titles.

View all codes in the S38 family