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2025 ICD-10-CM code S38.0

Crushing injury of external genital organs.

Follow all official ICD-10-CM coding guidelines. Use additional codes to identify any retained foreign bodies, associated injuries, and the external cause of the injury as appropriate.

Modifiers may apply depending on the circumstances of the encounter and services rendered. Consult the CMS National Correct Coding Initiative (NCCI) guidelines for appropriate modifier use.

Medical necessity for treatment of a crushing injury to the external genitalia is established by the severity and extent of the injuries requiring medical or surgical intervention. This includes managing immediate complications (e.g., hemorrhage, shock) and preventing long-term complications (e.g., infection, scarring, sexual dysfunction).Documentation must justify the level of care provided.

Diagnosis and treatment of the crushing injury to the external genitalia involve a thorough history taking, physical examination, imaging studies as needed, and appropriate medical and surgical interventions to manage the injury and prevent complications.This may involve multiple specialties depending on the severity and extent of injuries.

IMPORTANT:Use additional codes to specify associated injuries and any retained foreign bodies (Z18.-).Secondary codes from Chapter 20 (External causes of morbidity) should be used to indicate the cause of the injury.Codes in the T-section that include the external cause do not require an additional external cause code.

In simple words: This code describes an injury to the external genitals caused by something crushing them, like being squeezed between heavy objects. This can cause bleeding, cuts, bruising, and other damage. Doctors will examine the injury and may use imaging tests (like X-rays) to see how serious it is. Treatment might involve stopping the bleeding, surgery, and medication.

A crushing injury of the external genital organs is an injury caused by intense pressure, typically from being squeezed or pressed between two objects. This results in partial or complete separation of muscle and part of the external genital organs from their normal attachment due to trauma.The injury may involve bleeding, bruising, infection, fracture, laceration, nerve injury, loss of body part, tingling or numbness, scarring, and damage to soft tissue. Diagnosis is based on the patient's account of the event, physical examination of the wound, and imaging studies (X-rays, CT, CTA, MRI) to assess the extent of the damage. Treatment may include controlling bleeding, surgical repair (if needed), medication (analgesics, antibiotics, tetanus prophylaxis, NSAIDs), and physical/occupational therapy.Infection management may also be necessary.

Example 1: A patient is involved in a motor vehicle accident and sustains a crushing injury to their external genitalia from impact with the steering wheel. , A construction worker is injured when a heavy object falls on his lower abdomen, resulting in a crushing injury to his penis and scrotum. , A female patient sustains a crushing injury to her vulva after being caught in machinery at a factory.

Detailed patient history including mechanism of injury, physical examination findings, photographic documentation of wounds, and imaging results (X-rays, CT, MRI, etc.) as clinically indicated. Operative reports if surgical repair is performed, pathology reports if tissue is sent for analysis, and records showing post-operative care, including medication administration and follow-up appointments.

** This code is for the initial encounter. Subsequent encounters require use of the appropriate seventh character (A, D, or S) to specify the encounter status. The seventh character A represents an initial encounter, D represents a subsequent encounter, and S represents a sequela.

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