2021 ICD-10-CM Code S32

Fracture of lumbar spine and pelvis

Version 2021

Not Valid for Submission

S32 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of lumbar spine and pelvis. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Short Description:Fracture of lumbar spine and pelvis
Long Description:Fracture of lumbar spine and pelvis

Code Classification

Specific Coding for Fracture of lumbar spine and pelvis

Non-specific codes like S32 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for fracture of lumbar spine and pelvis:

  • Use S32.0 for Fracture of lumbar vertebra
  • Use S32.00 for Fracture of unspecified lumbar vertebra
  • Use S32.01 for Fracture of first lumbar vertebra
  • Use S32.02 for Fracture of second lumbar vertebra
  • Use S32.03 for Fracture of third lumbar vertebra
  • Use S32.04 for Fracture of fourth lumbar vertebra
  • Use S32.05 for Fracture of fifth lumbar vertebra
  • Use S32.1 for Fracture of sacrum
  • Use S32.10 for Unspecified fracture of sacrum
  • Use S32.11 for Zone I fracture of sacrum
  • Use S32.12 for Zone II fracture of sacrum
  • Use S32.13 for Zone III fracture of sacrum
  • Use S32.14 for Type 1 fracture of sacrum
  • Use S32.15 for Type 2 fracture of sacrum
  • Use S32.16 for Type 3 fracture of sacrum
  • Use S32.17 for Type 4 fracture of sacrum
  • Use S32.19 for Other fracture of sacrum
  • Use S32.2 for Fracture of coccyx
  • Use S32.3 for Fracture of ilium
  • Use S32.30 for Unspecified fracture of ilium
  • Use S32.31 for Avulsion fracture of ilium
  • Use S32.39 for Other fracture of ilium
  • Use S32.4 for Fracture of acetabulum
  • Use S32.40 for Unspecified fracture of acetabulum
  • Use S32.41 for Fracture of anterior wall of acetabulum
  • Use S32.42 for Fracture of posterior wall of acetabulum
  • Use S32.43 for Fracture of anterior column [iliopubic] of acetabulum
  • Use S32.44 for Fracture of posterior column [ilioischial] of acetabulum
  • Use S32.45 for Transverse fracture of acetabulum
  • Use S32.46 for Associated transverse-posterior fracture of acetabulum
  • Use S32.47 for Fracture of medial wall of acetabulum
  • Use S32.48 for Dome fracture of acetabulum
  • Use S32.49 for Other specified fracture of acetabulum
  • Use S32.5 for Fracture of pubis
  • Use S32.50 for Unspecified fracture of pubis
  • Use S32.51 for Fracture of superior rim of pubis
  • Use S32.59 for Other specified fracture of pubis
  • Use S32.6 for Fracture of ischium
  • Use S32.60 for Unspecified fracture of ischium
  • Use S32.61 for Avulsion fracture of ischium
  • Use S32.69 for Other specified fracture of ischium
  • Use S32.8 for Fracture of other parts of pelvis
  • Use S32.81 for Multiple fractures of pelvis with disruption of pelvic ring
  • Use S32.82 for Multiple fractures of pelvis without disruption of pelvic ring
  • Use S32.89 for Fracture of other parts of pelvis
  • Use S32.9 for Fracture of unspecified parts of lumbosacral spine and pelvis

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code S32:


This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the 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.

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.

Information for Patients


Also called: Broken bone

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.

[Learn More in MedlinePlus]

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

Certain diseases also lead to hip injuries or problems. Osteoarthritis can cause pain and limited motion. Osteoporosis of the hip causes weak bones that break easily. Both of these are common in older people.

Another problem is hip dysplasia, where the ball at the end of the femur is loose in the hip socket. It can cause hip dislocation. Babies who have hip dysplasia are usually born with it, but sometimes they develop it later.

Treatment for hip disorders may include rest, medicines, physical therapy, or surgery, including hip replacement.

[Learn More in MedlinePlus]

Spine Injuries and Disorders

Your backbone, or spine, is made up of 26 bone discs called vertebrae. The vertebrae protect your spinal cord and allow you to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. They include

Spinal diseases often cause pain when bone changes put pressure on the spinal cord or nerves. They can also limit movement. Treatments differ by disease, but sometimes they include back braces and surgery.

[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)