S38.1Crushing injury of abdomen, lower back, and pelvis

S38.1 is the ICD-10-CM diagnosis code for crushing injury of abdomen, lower back, and pelvis. It belongs to category S38 (crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals), block S30-S39 (injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is a header code, so it can't be reported by itself; one of its 3 subcodes must be used instead.

Within S38 (crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitals), S38.1 is specifically for crushing injury of abdomen, lower back, and pelvis. Related codes cover crushing injury of external genital organs (S38.0), traumatic amputation of external genital organs (S38.2) and Transection (partial) of abdomen (S38.3).

Codes in this range require a 7th character: A for initial encounter, D for subsequent encounter and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.

The conditions in its Excludes2 note aren't part of S38.1, but may be coded alongside it if the patient has both: crushing injury of external genital organs (S38.0-).

Use an additional code for all associated injuries, such as: fracture of thoracic or lumbar spine and pelvis (S22.0-, S32.-), injury to intra-abdominal organs (S36.-), injury to urinary and pelvic organs (S37.-), open wound of abdominal wall (S31.-) and spinal cord injury (S34.0, S34.1-).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.