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 First
Code 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.
  • any associated spinal cord and spinal nerve injury (
    ICD-10-CM Diagnosis Code S34
    • S34 Injury of lumbar and sacral spinal cord and n...
      • S34.0 Concussion and edema of lumbar and sacral spi...
        • S34.01 Concussion and edema of lumbar spinal cord
          • S34.01XA Concussion and edema of lumbar spinal cord, i...
          • S34.01XD Concussion and edema of lumbar spinal cord, s...
          • S34.01XS Concussion and edema of lumbar spinal cord, s...
        • S34.02 Concussion and edema of sacral spinal cord
          • S34.02XA Concussion and edema of sacral spinal cord, i...
          • S34.02XD Concussion and edema of sacral spinal cord, s...
          • S34.02XS Concussion and edema of sacral spinal cord, s...
      • S34.1 Other and unspecified injury of lumbar and sa...
        • S34.10 Unspecified injury to lumbar spinal cord
          • S34.101 Unspecified injury to L1 level of lumbar spin...
            • S34.101A Unspecified injury to L1 level of lumbar spin...
            • S34.101D Unspecified injury to L1 level of lumbar spin...
            • S34.101S Unspecified injury to L1 level of lumbar spin...
          • S34.102 Unspecified injury to L2 level of lumbar spin...
            • S34.102A Unspecified injury to L2 level of lumbar spin...
            • S34.102D Unspecified injury to L2 level of lumbar spin...
            • S34.102S Unspecified injury to L2 level of lumbar spin...
          • S34.103 Unspecified injury to L3 level of lumbar spin...
            • S34.103A Unspecified injury to L3 level of lumbar spin...
            • S34.103D Unspecified injury to L3 level of lumbar spin...
            • S34.103S Unspecified injury to L3 level of lumbar spin...
          • S34.104 Unspecified injury to L4 level of lumbar spin...
            • S34.104A Unspecified injury to L4 level of lumbar spin...
            • S34.104D Unspecified injury to L4 level of lumbar spin...
            • S34.104S Unspecified injury to L4 level of lumbar spin...
          • S34.105 Unspecified injury to L5 level of lumbar spin...
            • S34.105A Unspecified injury to L5 level of lumbar spin...
            • S34.105D Unspecified injury to L5 level of lumbar spin...
            • S34.105S Unspecified injury to L5 level of lumbar spin...
          • S34.109 Unspecified injury to unspecified level of lu...
            • S34.109A Unspecified injury to unspecified level of lu...
            • S34.109D Unspecified injury to unspecified level of lu...
            • S34.109S Unspecified injury to unspecified level of lu...
        • S34.11 Complete lesion of lumbar spinal cord
          • S34.111 Complete lesion of L1 level of lumbar spinal ...
            • S34.111A Complete lesion of L1 level of lumbar spinal ...
            • S34.111D Complete lesion of L1 level of lumbar spinal ...
            • S34.111S Complete lesion of L1 level of lumbar spinal ...
          • S34.112 Complete lesion of L2 level of lumbar spinal ...
            • S34.112A Complete lesion of L2 level of lumbar spinal ...
            • S34.112D Complete lesion of L2 level of lumbar spinal ...
            • S34.112S Complete lesion of L2 level of lumbar spinal ...
          • S34.113 Complete lesion of L3 level of lumbar spinal ...
            • S34.113A Complete lesion of L3 level of lumbar spinal ...
            • S34.113D Complete lesion of L3 level of lumbar spinal ...
            • S34.113S Complete lesion of L3 level of lumbar spinal ...
          • S34.114 Complete lesion of L4 level of lumbar spinal ...
            • S34.114A Complete lesion of L4 level of lumbar spinal ...
            • S34.114D Complete lesion of L4 level of lumbar spinal ...
            • S34.114S Complete lesion of L4 level of lumbar spinal ...
          • S34.115 Complete lesion of L5 level of lumbar spinal ...
            • S34.115A Complete lesion of L5 level of lumbar spinal ...
            • S34.115D Complete lesion of L5 level of lumbar spinal ...
            • S34.115S Complete lesion of L5 level of lumbar spinal ...
          • S34.119 Complete lesion of unspecified level of lumba...
            • S34.119A Complete lesion of unspecified level of lumba...
            • S34.119D Complete lesion of unspecified level of lumba...
            • S34.119S Complete lesion of unspecified level of lumba...
        • S34.12 Incomplete lesion of lumbar spinal cord
          • S34.121 Incomplete lesion of L1 level of lumbar spina...
            • S34.121A Incomplete lesion of L1 level of lumbar spina...
            • S34.121D Incomplete lesion of L1 level of lumbar spina...
            • S34.121S Incomplete lesion of L1 level of lumbar spina...
          • S34.122 Incomplete lesion of L2 level of lumbar spina...
            • S34.122A Incomplete lesion of L2 level of lumbar spina...
            • S34.122D Incomplete lesion of L2 level of lumbar spina...
            • S34.122S Incomplete lesion of L2 level of lumbar spina...
          • S34.123 Incomplete lesion of L3 level of lumbar spina...
            • S34.123A Incomplete lesion of L3 level of lumbar spina...
            • S34.123D Incomplete lesion of L3 level of lumbar spina...
            • S34.123S Incomplete lesion of L3 level of lumbar spina...
          • S34.124 Incomplete lesion of L4 level of lumbar spina...
            • S34.124A Incomplete lesion of L4 level of lumbar spina...
            • S34.124D Incomplete lesion of L4 level of lumbar spina...
            • S34.124S Incomplete lesion of L4 level of lumbar spina...
          • S34.125 Incomplete lesion of L5 level of lumbar spina...
            • S34.125A Incomplete lesion of L5 level of lumbar spina...
            • S34.125D Incomplete lesion of L5 level of lumbar spina...
            • S34.125S Incomplete lesion of L5 level of lumbar spina...
          • S34.129 Incomplete lesion of unspecified level of lum...
            • S34.129A Incomplete lesion of unspecified level of lum...
            • S34.129D Incomplete lesion of unspecified level of lum...
            • S34.129S Incomplete lesion of unspecified level of lum...
        • S34.13 Other and unspecified injury to sacral spinal...
          • S34.131 Complete lesion of sacral spinal cord
            • S34.131A Complete lesion of sacral spinal cord, initia...
            • S34.131D Complete lesion of sacral spinal cord, subseq...
            • S34.131S Complete lesion of sacral spinal cord, sequel...
          • S34.132 Incomplete lesion of sacral spinal cord
            • S34.132A Incomplete lesion of sacral spinal cord, init...
            • S34.132D Incomplete lesion of sacral spinal cord, subs...
            • S34.132S Incomplete lesion of sacral spinal cord, sequ...
          • S34.139 Unspecified injury to sacral spinal cord
            • S34.139A Unspecified injury to sacral spinal cord, ini...
            • S34.139D Unspecified injury to sacral spinal cord, sub...
            • S34.139S Unspecified injury to sacral spinal cord, seq...
      • S34.2 Injury of nerve root of lumbar and sacral spi...
        • S34.21 Injury of nerve root of lumbar spine
          • S34.21XA Injury of nerve root of lumbar spine, initial...
          • S34.21XD Injury of nerve root of lumbar spine, subsequ...
          • S34.21XS Injury of nerve root of lumbar spine, sequela...
        • S34.22 Injury of nerve root of sacral spine
          • S34.22XA Injury of nerve root of sacral spine, initial...
          • S34.22XD Injury of nerve root of sacral spine, subsequ...
          • S34.22XS Injury of nerve root of sacral spine, sequela...
      • S34.3 Injury of cauda equina
      • S34.4 Injury of lumbosacral plexus
        • S34.4XXA Injury of lumbosacral plexus, initial encount...
        • S34.4XXD Injury of lumbosacral plexus, subsequent enco...
        • S34.4XXS …… sequela
      • S34.5 Injury of lumbar, sacral and pelvic sympathet...
        • S34.5XXA Injury of lumbar, sacral and pelvic sympathet...
        • S34.5XXD Injury of lumbar, sacral and pelvic sympathet...
        • S34.5XXS Injury of lumbar, sacral and pelvic sympathet...
      • S34.6 Injury of peripheral nerve(s) at abdomen, low...
        • S34.6XXA Injury of peripheral nerve(s) at abdomen, low...
        • S34.6XXD Injury of peripheral nerve(s) at abdomen, low...
        • S34.6XXS Injury of peripheral nerve(s) at abdomen, low...
      • S34.8 Injury of other nerves at abdomen, lower back...
        • S34.8XXA Injury of other nerves at abdomen, lower back...
        • S34.8XXD Injury of other nerves at abdomen, lower back...
        • S34.8XXS Injury of other nerves at abdomen, lower back...
      • S34.9 Injury of unspecified nerves at abdomen, lowe...
        • S34.9XXA Injury of unspecified nerves at abdomen, lowe...
        • S34.9XXD Injury of unspecified nerves at abdomen, lowe...
        • S34.9XXS Injury of unspecified nerves at abdomen, lowe...
    S34.-
    )
Type 1 Excludes
Type 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.
  • transection of abdomen (
    ICD-10-CM Diagnosis Code S38.3

    Transection (partial) of abdomen

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    S38.3
    )
Type 2 Excludes
Type 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.
  • fracture of hip NOS (
    ICD-10-CM Diagnosis Code S72.0

    Fracture of head and neck of femur

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • physeal fracture of upper end of femur (S79.0-)
    S72.0-
    )
Includes
Includes 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:
  • S00-T88
    2020 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S30-S39
    2020 ICD-10-CM Range S30-S39

    Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals

    Includes
    • injuries to the abdominal wall
    • injuries to the anus
    • injuries to the buttock
    • injuries to the external genitalia
    • injuries to the flank
    • injuries to the groin
    Type 2 Excludes
    • burns and corrosions (T20-T32)
    • effects of foreign body in anus and rectum (T18.5)
    • effects of foreign body in genitourinary tract (T19.-)
    • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
    • frostbite (T33-T34)
    • insect bite or sting, venomous (T63.4)
    Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
Code History
  • 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:
  • 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 1 Excludes
    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 1 Excludes
    Type 2 Excludes
    • personal history of (healed) pathological fracture (Z87.311)
  • 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
S31.834D …… subsequent encounter
S31.834S …… sequela
S31.835 Open bite of anus
S31.835A …… initial encounter
S31.835D …… subsequent encounter
S31.835S …… sequela
S31.839 Unspecified open wound of anus
S31.839A …… initial encounter
S31.839D …… subsequent encounter
S31.839S …… sequela
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
S32.000S …… sequela
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.