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2025 ICD-10-CM code S38.2

Traumatic amputation of external genital organs.

Use secondary codes from Chapter 20 (External causes of morbidity) to specify the cause of the injury.If the external cause is included in the T-section code, an additional external cause code is not required. Use additional code Z18.- if a foreign body is retained.Consider additional codes for associated injuries.

Modifiers may be applicable to procedural codes used in conjunction with S38.2.Refer to modifier guidelines for specific circumstances.

Medical necessity is established by the traumatic event resulting in the amputation and the need for appropriate diagnostic and therapeutic interventions to manage the injury, including hemorrhage control, surgical repair, pain management, infection prevention, and rehabilitation.

Diagnosis is based on patient history and physical examination. Imaging (X-rays, CT, CTA, MRI) may be used. Treatment may include hemorrhage control, surgical repair/reimplantation, analgesics, antibiotics, tetanus prophylaxis, NSAIDs, physical/occupational therapy, and infection management.

IMPORTANT:Consider additional codes for retained foreign bodies (Z18.-),associated injuries (e.g., fractures, lacerations), and complications (e.g., infections).Codes S31.5 (open wound) and S38.0 (crushing injury) may be relevant depending on the specific injury mechanism, but S38.2 is specific to amputation.

In simple words: This code describes a serious injury where part or all of the external genitals are traumatically removed. This can happen in accidents, and it may cause bleeding, cuts, and damage to nearby organs.

Traumatic amputation of external genital organs refers to the traumatic removal of part or all of the external genital structures.This can occur due to various traumatic incidents, resulting in potential complications such as open wounds, blood vessel damage (dissection or laceration), damage to the urethra, bladder, bowel, and other genital organ injuries.The severity can range from partial to complete amputation.

Example 1: A patient is involved in a motor vehicle accident and sustains a complete traumatic amputation of the penis., A patient suffers a partial traumatic amputation of the labia majora during an assault., A patient experiences a traumatic amputation of the scrotum and one testicle as a result of a machinery accident.

Detailed patient history, physical examination findings, operative report (if applicable), imaging reports (X-rays, CT, MRI), pathology reports (if applicable), and documentation of all treatment provided.

** This code is for traumatic amputations.Surgical amputations are coded differently.Always document the extent of the amputation (complete or partial) and the specific structures involved.

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