S30.22XA Contusion of scrotum and testes, initial encounter

ICD-10-CM S30.22XA: Contusion of scrotum and testes, initial encounter

ICD-10-CM code S30.22XA identifies a contusion of the scrotum and testes during an initial encounter. This diagnostic concept is classified under an injury or poisoning semantic type and is an active terminology record. It is distinct from subsequent encounter and sequela variants. 1 3

Plain-language overview

The diagnostic code S30.22XA is an active terminology record representing a contusion of the scrotum and testes for an initial encounter, providing a standardized label for this specific injury. 1

What this code represents

Code S30.22XA is assigned the semantic type of Injury or Poisoning and is nested under the parent concept S30.22, which broadly defines a contusion of the scrotum and testes. 1

Coding details

Billing and coding guidance lists S30.22XA for an initial encounter alongside S30.22XD for a subsequent encounter and S30.22XS for a sequela of a scrotal and testicular contusion. 3

Clinical context

Clinical guidance for blast trauma describes the scrotum as skin covering two testes encapsulated in tunica vaginalis and dartos muscles, with surrounding soft tissue containing the epididymis and vas deferens. 2

Blast trauma effects on the lower limbs and perineum can injure the scrotum and surrounding tissues, potentially penetrating or devitalizing the area and exposing or tearing the urethra. 2

Documentation considerations

Billing guidance for debridement services indicates that for diagnostic tests, clinicians report the result of the test if known, and the text mentions a scrotal contusion. 4

What the sources add

While the terminology record defines the code's structural hierarchy and semantic type, the billing article provides operational context by listing the initial, subsequent, and sequela encounter variants. 1 3

The terminology record establishes the code as an active concept with narrower child concepts, whereas the clinical practice guideline details the anatomical structures and blast injury mechanisms affecting the scrotum. 1 2

Coverage and utilization context

The code S30.22XA appears in Medicare billing and coding articles for incision and drainage of abscesses and debridement services, which provide guidance for billing and coding. 3 4

Sources

1. ICD-10-CM S30.22XA terminology record — National Cancer Institute Enterprise Vocabulary Services; accessed 2026-07-27.
2. Explosive Weapons Trauma Care Collective (EXTRACCT) Blast Injury Clinical Practice Guideline: Genito‐Urinary Trauma — pmc.ncbi.nlm.nih.gov; accessed 2026-07-27.
3. Article - Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures (A56766) — cms.gov; accessed 2026-07-27.
4. Article - Billing and Coding: Debridement Services (A56459) — cms.gov; accessed 2026-07-27.