ICD-10-CM Codes
S00-T88
S30-S39
S34-
2023 ICD-10-CM Diagnosis Code S34

2023 ICD-10-CM Diagnosis Code S34

Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level

2016

2017

2018

2019

2020

2021

2022

2023

Non-Billable/Non-Specific Code

S34 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
Short description: Inj lower spinl cord and nrv at abd, low back and pelv level
The 2023 edition of ICD-10-CM S34 became effective on October 1, 2022.
This is the American ICD-10-CM version of S34 - other international versions of ICD-10 S34 may differ.

Note

Code to highest level of lumbar cord injury
Injuries to the spinal cord (
ICD-10-CM Diagnosis Code S34.0
Concussion and edema of lumbar and sacral spinal cord
S34.0
and
ICD-10-CM Diagnosis Code S34.1
Other and unspecified injury of lumbar and sacral spinal cord
S34.1
) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given.

Code Also

Code Also Help

A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.

any associated:
fracture of vertebra (
ICD-10-CM Diagnosis Code S22.0
Fracture of thoracic vertebra
S22.0-
,
ICD-10-CM Diagnosis Code S32.0
Fracture of lumbar vertebra
Applicable To
- Fracture of lumbar spine NOS
S32.0-
)
open wound of abdomen, lower back and pelvis (
ICD-10-CM Diagnosis Code S31
- S31.0 Open wound of lower back and pelvis
- S31.1 Open wound of abdominal wall without penetration into peritoneal cavity
- S31.2 Open wound of penis
- S31.3 Open wound of scrotum and testes
- S31.4 Open wound of vagina and vulva
- S31.5 Open wound of unspecified external genital organs
- S31.6 Open wound of abdominal wall with penetration into peritoneal cavity
- S31.8 Open wound of other parts of abdomen, lower back and pelvis
S31.-
)
transient paralysis (
ICD-10-CM Diagnosis Code R29.5
Transient paralysis
Code First
- any associated spinal cord injury (S14.0, S14.1-, S24.0, S24.1-, S34.0-, S34.1-)
Type 1 Excludes
- transient ischemic attack (G45.9)
R29.5
)

The following code(s) above S34 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 S34:

S00-T88
2023 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
- birth trauma (P10-P15)
- obstetric trauma (O70-O71)
Use Additional
- code to identify any retained foreign body, if applicable (Z18.-)
Injury, poisoning and certain other consequences of external causes
S30-S39
2023 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
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change

Code annotations containing back-references to S34:

Code First: S32

ICD-10-CM Diagnosis Code S32
Fracture of lumbar spine and pelvis
Code First
- any associated spinal cord and spinal nerve injury (S34.-)
Includes
- fracture of lumbosacral neural arch
- fracture of lumbosacral spinous process
- fracture of lumbosacral transverse process
- fracture of lumbosacral vertebra
- fracture of lumbosacral vertebral arch
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
Type 1 Excludes
- transection of abdomen (S38.3)
Type 2 Excludes
- fracture of hip NOS (S72.0-)
Type 1 Excludes: G83.8

ICD-10-CM Diagnosis Code G83.8
Other specified paralytic syndromes
Type 1 Excludes
- paralytic syndromes due to current spinal cord injury-code to spinal cord injury (S14, S24, S34)

ICD-10-CM Codes Adjacent To S34

S33.6XXD …… subsequent encounter

S33.6XXS …… sequela

S33.8 Sprain of other parts of lumbar spine and pelvis

S33.8XXA …… initial encounter

S33.8XXD …… subsequent encounter

S33.8XXS …… sequela

S33.9 Sprain of unspecified parts of lumbar spine and pelvis

S33.9XXA …… initial encounter

S33.9XXD …… subsequent encounter

S33.9XXS …… sequela

S34 Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level

S34.0 Concussion and edema of lumbar and sacral spinal cord

S34.01 Concussion and edema of lumbar spinal cord

S34.01XA …… initial encounter

S34.01XD …… subsequent encounter

S34.01XS …… sequela

S34.02 Concussion and edema of sacral spinal cord

S34.02XA …… initial encounter

S34.02XD …… subsequent encounter

S34.02XS …… sequela

S34.1 Other and unspecified injury of lumbar and sacral spinal cord

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2023 ICD-10-CM Diagnosis Code S34

Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level

Concussion and edema of lumbar and sacral spinal cord

Other and unspecified injury of lumbar and sacral spinal cord

Fracture of thoracic vertebra

Fracture of lumbar vertebra

Transient paralysis

Injury, poisoning and certain other consequences of external causes

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

Fracture of lumbar spine and pelvis

Other specified paralytic syndromes