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2025 ICD-10-CM code S38.21

Traumatic amputation of female external genital organs. This includes traumatic amputation of the clitoris, labium majus, labium minus, or vulva.

Use secondary codes from Chapter 20 (External causes of morbidity) to specify the cause of injury. Additional codes may be needed for retained foreign bodies (Z18.-).

Medical necessity is determined by the severity of the injury and the need for intervention to control bleeding, prevent infection, and restore function.

Diagnosis is based on patient history and physical examination. Imaging like X-rays, CT, CTA, and MRI may be used to assess the damage. Treatment may include stopping bleeding, surgical repair, reimplantation, pain medication, antibiotics, tetanus prophylaxis, anti-inflammatory drugs, and physical therapy.

IMPORTANT:For complete amputation use S38.211, and for partial amputation use S38.212

In simple words: Traumatic amputation of the external female genitals means that part or all of the woman's external genital organs have been removed due to an injury.This could involve the clitoris, labia (the inner and outer lips of the vulva), or the vulva itself.

Traumatic amputation of female external genital organs encompasses the traumatic removal of part or all of the external female genitalia due to various traumatic incidents. This can lead to open wounds, blood vessel dissection or laceration, damage to the urethra, bladder, and bowel, and other injuries to the genital organs.

Example 1: A female cyclist is involved in a high-speed crash, resulting in traumatic amputation of the labia minora., A female victim of a physical assault suffers a traumatic amputation of the clitoris., A female involved in a motor vehicle accident experiences traumatic amputation of the entire vulva.

Detailed documentation of the injury, including the mechanism of trauma, extent of tissue loss, associated injuries, and treatment provided.

** This code is considered non-billable and should not be used for reimbursement purposes. More specific codes (S38.211 and S38.212) exist and should be used instead when possible.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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