ICD-10 S30
Non-Billable HeaderSuperficial injury of abdomen, lower back, pelvis and external genitals
About ICD-10-CM S30
ICD-10-CM code S30 represents Superficial injury of abdomen, lower back, pelvis and external genitals. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S30). The 2026 edition of ICD-10-CM S30 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Tips for S30
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.
Type 2 Excludes
Not included here, the excluded code is not part of S30, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- superficial injury of hip (S70.-)
Coding Notes
Seven Chr Note
- The appropriate 7th character is to be added to each code from category S30
Medicare LCD Coverage for S30
Local Coverage Determinations (LCDs) from CMS MACs that list S30 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing S30.
2 Cigna
CPT Codes Commonly Billed with S30
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To S30
Other codes in section S30-S39 (Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals).
ICD-10 S30, Billing FAQ
Is ICD-10 code S30 billable? +
No, S30 is a non-billable header code. Use a more specific child code from block S30 when submitting claims.
What codes are Type 2 Excludes for S30? +
Type 2 Excludes (may be coded together when both conditions exist): superficial injury of hip (S70.-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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