Alphabetic Index FY2027

S32

Fracture of lumbar spine and pelvis

FY2027Chapter 19: Injury, poisoning and certain other consequences of external causes/S30–S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

S32 is a non-billable ICD-10-CM code category for fracture of lumbar spine and pelvis. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are S32.0 Fracture of lumbar vertebra, S32.1 Fracture of sacrum, S32.2 Fracture of coccyx, S32.3 Fracture of ilium and 5 more. Its coding notes include a Code first instruction, a Use additional code instruction, 1 Excludes1 entry and 9 Excludes2 entries.

7th characters

Every code below needs one of these.

The appropriate 7th character is to be added to each code from category S32

  • Ainitial encounter for closed fracture
  • Binitial encounter for open fracture
  • Dsubsequent encounter for fracture with routine healing
  • Gsubsequent encounter for fracture with delayed healing
  • Ksubsequent encounter for fracture with nonunion
  • Ssequela

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

A fracture not stated as open or closed is coded closed, and one not stated as displaced or not displaced is coded displaced. Nonunion and malunion have their own 7th characters.

Guidelines I.C.19.cTraumatic fractures: open, closed, displaced and 7th charactersRead the official text

The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.

Guidelines I.C.19.aInjuries: application of 7th charactersRead the official text

Each injury gets its own code unless a combination code exists, with the most serious injury first. Superficial injuries at the same site as a more severe injury are not coded. Injuries during medical care are coded as complications.

Guidelines I.C.19.bCoding of injuriesRead the official text

Code first

If the underlying condition listed here is present and known, sequence it first.

This code
  • any associated spinal cord and spinal nerve injury (S34.-)

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (1 note)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • transection of abdomen (S38.3)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
Also from chapter/block level (8 notes)
Inherited from S30–S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
  • 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)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Includes

Further defines or gives examples of the content of the category.

This code
  • fracture of lumbosacral neural arch
  • fracture of lumbosacral spinous process
  • fracture of lumbosacral transverse process
  • fracture of lumbosacral vertebra
  • fracture of lumbosacral vertebral arch
Also from chapter/block level (6 notes)
Inherited from S30–S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
  • 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

Notes

This code
  • 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
Also from chapter/block level (2 notes)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • 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
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

More specific codes under S32 9