Is ICD-10-CM code S32 billable?

No, S32 (Fracture of lumbar spine and pelvis) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code S32 belong to?

S32 belongs to Chapter 19 of the ICD-10-CM tabular list: S00–T88 (Injury, Poisoning and Certain Other Consequences of External Causes).

S32Not billable, use a more specific code below

Fracture of lumbar spine and pelvis

In Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes

846 billable codes under S32: 195 are an MCC, 228 are a CC; 282 map to HCC 402 (Hip Fracture/Dislocation), HCC 401 (Vertebral Fractures without Spinal Cord Injury).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

Instructional notes

Includes: conditions that are coded here

fracture of lumbosacral neural arch
fracture of lumbosacral spinous process
fracture of lumbosacral transverse process
fracture of lumbosacral vertebra
fracture of lumbosacral vertebral arch

Excludes1: not coded here, use a different code

transection of abdomen (S38.3)

Excludes2: not included here, code separately if applicable

fracture of hip NOS (S72.0-)

Code first: code the underlying condition first, then this code

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

Also applies, from Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)

These notes sit on S30-S39 and apply to every code under it, including S32.

Includes: conditions that are coded here

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

Excludes2: not included here, code separately if applicable

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)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Section I.C.19.c Coding of Traumatic Fractures (page 79), covers S32
Code fractures by site; default to closed and displaced when not specified. Use initial 7th characters during active treatment and subsequent ones during healing, not aftercare Z codes; use M80 for osteoporotic fractures from minor trauma.

Codes under S32

S32 can't be used on a claim. Pick a billable code below; grey headings group them.

S32 MS-DRGs

As the principal diagnosis, the billable codes under S32 group to these 15 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 559 Aftercare, Musculoskeletal System and Connective Tissue with MCC (282 of 846 codes)
DRG 560 Aftercare, Musculoskeletal System and Connective Tissue with CC (282 of 846 codes)
DRG 561 Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC (282 of 846 codes)
DRG 963 Other Multiple Significant Trauma with MCC (282 of 846 codes)
DRG 964 Other Multiple Significant Trauma with CC (282 of 846 codes)
DRG 965 Other Multiple Significant Trauma without CC/MCC (282 of 846 codes)
DRG 551 Medical Back Problems with MCC (239 of 846 codes)
DRG 552 Medical Back Problems without MCC (239 of 846 codes)
DRG 521 Hip Replacement with Principal Diagnosis of Hip Fracture with MCC (216 of 846 codes)
DRG 522 Hip Replacement with Principal Diagnosis of Hip Fracture without MCC (216 of 846 codes)
DRG 535 Fractures of Hip and Pelvis with MCC (184 of 846 codes)
DRG 536 Fractures of Hip and Pelvis without MCC (184 of 846 codes)
DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (141 of 846 codes)
DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (141 of 846 codes)
DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (141 of 846 codes)

Other codes that refer to S32

Notes on these codes point to S32.

M48.5 Excludes1: traumatic fracture of vertebra (S12.-, S22.-, S32.-)
M84.3 Excludes1: traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
M84.4 Excludes1: traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
S38.1 Use Additional Code: fracture of thoracic or lumbar spine and pelvis (S22.0-, S32.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

Hip Injuries and Disorders

Your hip is the joint where your femur (thigh bone) meets your pelvis (hip bone). There are two main parts: a ball at the end of the femur, which fits in a socket in the pelvis. Your hip is known as a ball-and-socket joint. This is because you have a ball at the end of your femur, and it fits into a socket in your pelvis. This makes your hips very stable and allows for a wide range of motion. When they are healthy, it takes great force to hurt them. However, playing sports, running, overuse, or falling can sometimes lead to hip injuries such as:

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.