1. ICD-10-CM Codes
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2. S00-T88 Injury, poisoning and certain other consequences of external causes
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3. S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
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4. S34- Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level
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2018 ICD-10-CM Diagnosis Code S34.1

Other and unspecified injury of lumbar and sacral spinal cord

2016 2017 2018 Non-Billable/Non-Specific Code

• S34.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
• Short description: Other and unsp injury of lumbar and sacral spinal cord
• The 2018 edition of ICD-10-CM S34.1 became effective on October 1, 2017.
• This is the American ICD-10-CM version of S34.1 - other international versions of ICD-10 S34.1 may differ.

• 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

• Code Also: S31
  , S33.1
  ICD-10-CM Diagnosis Code S31

  Open wound of abdomen, lower back, pelvis and external genitals

  2016 2017 2018 Non-Billable/Non-Specific Code

  Code Also

  • any associated:
  • spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-)
  • wound infection

  Type 1 Excludes

  • traumatic amputation of part of abdomen, lower back and pelvis (S38.2-, S38.3)

  Type 2 Excludes

  • open wound of hip (S71.00-S71.02)
  • open fracture of pelvis (S32.1--S32.9 with 7th character B)
  ICD-10-CM Diagnosis Code S33.1

  Subluxation and dislocation of lumbar vertebra

  2016 2017 2018 Non-Billable/Non-Specific Code

  Code Also

  • any associated:
  • open wound of abdomen, lower back and pelvis (S31)
  • spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-)

  Type 2 Excludes

  • fracture of lumbar vertebrae (S32.0-)
• Code First: R29.5
  ICD-10-CM Diagnosis Code R29.5

  Transient paralysis

  2016 2017 2018 Billable/Specific Code

  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)
• Note: S34
  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 Non-Billable/Non-Specific Code

  Code Also

  • any associated:
  • fracture of vertebra (S22.0-, S32.0-)
  • open wound of abdomen, lower back and pelvis (S31.-)
  • transient paralysis (R29.5)

  Note

  • Code to highest level of lumbar cord injury
  • Injuries to the spinal cord (S34.0 and S34.1) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given.
• Use Additional: S38.1
  ICD-10-CM Diagnosis Code S38.1

  Crushing injury of abdomen, lower back, and pelvis

  2016 2017 2018 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-)

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