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ICD-10-CM Codes
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S00-T88
Injury, poisoning and certain other consequences of external causes
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S30-S39
Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
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S32-
Fracture of lumbar spine and pelvis
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2020 ICD-10-CM Diagnosis Code S32
Fracture of lumbar spine and pelvis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
- S32 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
- The 2020 edition of ICD-10-CM S32 became effective on October 1, 2019.
- This is the American ICD-10-CM version of S32 - other international versions of ICD-10 S32 may differ.
Note- A fracture not indicated as displaced or nondisplaced should be coded to displaced
- A fracture not indicated as opened or closed should be coded to closed
Code FirstCode First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
Type 1 ExcludesType 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as S32. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Type 2 ExcludesType 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (S32) and the excluded code together.
IncludesIncludes Help
"Includes" further defines, or give examples of, the content of the code or category.
- fracture of lumbosacral neural arch
- fracture of lumbosacral spinous process
- fracture of lumbosacral transverse process
- fracture of lumbosacral vertebra
- fracture of lumbosacral vertebral arch
The following code(s) above
S32 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
that may be applicable to
S32:
- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
Code annotations containing back-references to S32:
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Type 1 Excludes: M48.5, M84.3, M84.4
ICD-10-CM Diagnosis Code M48.5
Collapsed vertebra, not elsewhere classified
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Applicable To- Collapsed vertebra NOS
- Compression fracture of vertebra NOS
- Wedging of vertebra NOS
Type 1 Excludes- current injury - see Injury of spine, by body region
- fatigue fracture of vertebra (M48.4)
- pathological fracture of vertebra due to neoplasm (M84.58)
- pathological fracture of vertebra due to other diagnosis (M84.68)
- pathological fracture of vertebra due to osteoporosis (M80.-)
- pathological fracture NOS (M84.4-)
- stress fracture of vertebra (M48.4-)
- traumatic fracture of vertebra (S12.-, S22.-, S32.-)
ICD-10-CM Diagnosis Code M84.3
Stress fracture
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Applicable To- Fatigue fracture
- March fracture
- Stress fracture NOS
- Stress reaction
Type 2 Excludes- personal history of (healed) stress (fatigue) fracture (Z87.312)
- stress fracture of vertebra (M48.4-)
Use Additional- external cause code(s) to identify the cause of the stress fracture
ICD-10-CM Diagnosis Code M84.4
Pathological fracture, not elsewhere classified
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Applicable To- Chronic fracture
- Pathological fracture NOS
Type 2 Excludes- personal history of (healed) pathological fracture (Z87.311)
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Use Additional: S38.1
ICD-10-CM Diagnosis Code S38.1
Crushing injury of abdomen, lower back, and pelvis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- crushing injury of external genital organs (S38.0-)
Use Additional- code for all associated injuries, such as:
- fracture of thoracic or lumbar spine and pelvis (S22.0-, S32.-)
- injury to intra-abdominal organs (S36.-)
- injury to urinary and pelvic organs (S37.-)
- open wound of abdominal wall (S31.-)
- spinal cord injury (S34.0, S34.1-)
ICD-10-CM Codes Adjacent To S32
S31.839 Unspecified open wound of anus
S32
Fracture of lumbar spine and pelvis
S32.0 Fracture of lumbar vertebra
S32.00 Fracture of unspecified lumbar vertebra
S32.000 Wedge compression fracture of unspecified lumbar vertebra
S32.000A …… initial encounter for closed fracture
S32.000B …… initial encounter for open fracture
S32.000D …… subsequent encounter for fracture with routine healing
S32.000G …… subsequent encounter for fracture with delayed healing
S32.000K …… subsequent encounter for fracture with nonunion
S32.001 Stable burst fracture of unspecified lumbar vertebra
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
