2027 ICD-10-CM Diagnosis Code S32Fracture of lumbar spine and pelvis

ICD-10-CM Codes›S00–T88›S30-S39›S32

ICD-10-CM S32
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S32 is a non-billable ICD-10-CM category code for fracture of lumbar spine and pelvis, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S32.000A, S32.000B, S32.000D, and S32.000G.

Code Identity

ICD-10-CM Code
S32
Billable Status
No — Non-Billable Category
Code Describes
Fracture of lumbar spine and pelvis
Short Description
Fracture of lumbar spine and pelvis
Same as the full description in the CMS dataset.
Chapter
S30-S39
Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS30-S39Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
CategoryS32Fracture of lumbar spine and pelvis
This CodeS32Fracture of lumbar spine and pelvis

Specific Coding for Fracture of lumbar spine and pelvisOverview

Non-specific codes like S32 require more characters. Use one of these billable codes instead:

  • S32.0 for Fracture of lumbar vertebra

  • S32.00 for Fracture of unspecified lumbar vertebra

  • S32.01 for Fracture of first lumbar vertebra

  • S32.02 for Fracture of second lumbar vertebra

  • S32.03 for Fracture of third lumbar vertebra

  • S32.04 for Fracture of fourth lumbar vertebra

  • S32.05 for Fracture of fifth lumbar vertebra

  • S32.1 for Fracture of sacrum

  • S32.10 for Unspecified fracture of sacrum

  • S32.11 for Zone I fracture of sacrum

  • S32.12 for Zone II fracture of sacrum

  • S32.13 for Zone III fracture of sacrum

  • S32.14 for Type 1 fracture of sacrum

  • S32.15 for Type 2 fracture of sacrum

  • S32.16 for Type 3 fracture of sacrum

  • S32.17 for Type 4 fracture of sacrum

  • S32.19 for Other fracture of sacrum

  • S32.2 for Fracture of coccyx

  • S32.3 for Fracture of ilium

  • S32.30 for Unspecified fracture of ilium

  • S32.31 for Avulsion fracture of ilium

  • S32.39 for Other fracture of ilium

  • S32.4 for Fracture of acetabulum

  • S32.40 for Unspecified fracture of acetabulum

  • S32.41 for Fracture of anterior wall of acetabulum

  • S32.42 for Fracture of posterior wall of acetabulum

  • S32.43 for Fracture of anterior column [iliopubic] of acetabulum

  • S32.44 for Fracture of posterior column [ilioischial] of acetabulum

  • S32.45 for Transverse fracture of acetabulum

  • S32.46 for Associated transverse-posterior fracture of acetabulum

  • S32.47 for Fracture of medial wall of acetabulum

  • S32.48 for Dome fracture of acetabulum

  • S32.49 for Other specified fracture of acetabulum

  • S32.5 for Fracture of pubis

  • S32.50 for Unspecified fracture of pubis

  • S32.51 for Fracture of superior rim of pubis

  • S32.59 for Other specified fracture of pubis

  • S32.6 for Fracture of ischium

  • S32.60 for Unspecified fracture of ischium

  • S32.61 for Avulsion fracture of ischium

  • S32.69 for Other specified fracture of ischium

  • S32.8 for Fracture of other parts of pelvis

  • S32.81 for Multiple fractures of pelvis with disruption of pelvic ring

  • S32.82 for Multiple fractures of pelvis without disruption of pelvic ring

  • S32.89 for Fracture of other parts of pelvis

  • S32.9 for Fracture of unspecified parts of lumbosacral spine and pelvis

Coding GuidelinesGuidance

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site, to the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) while the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N) or subsequent care with malunion (P, Q, R).

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S32: its own notes plus those printed at block S30-S39 and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Includes

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

On S32 itself
  • fracture of lumbosacral neural arch
  • fracture of lumbosacral spinous process
  • fracture of lumbosacral transverse process
  • fracture of lumbosacral vertebra
  • fracture of lumbosacral vertebral arch
From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • 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

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • transection of abdomen (S38.3)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On S32 itself
From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • 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)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Code First

The underlying condition named in the note is sequenced before this code.

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

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

On S32 itself
  • 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
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

  • The appropriate 7th character is to be added to each code from category S32
Values for category S32 Skull, Spine and Pelvis Fracture Encounter
  • 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

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S32, its category, or a range that includes it.

Excludes1 3

These codes carry an Excludes1 note naming S32: they are not reported together with it, unless the two conditions are unrelated.

  • M48.5 Collapsed vertebra, not elsewhere classified
    traumatic fracture of vertebra (S12.-, S22.-, S32.-)
  • M84.3 Stress fracture
    traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
  • M84.4 Pathological fracture, not elsewhere classified
    traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)

Use Additional Code 1

These codes say to use an additional code from the note, and S32 is one of the codes named.

  • S38.1 Crushing injury of abdomen, lower back, and pelvis
    fracture of thoracic or lumbar spine and pelvis (S22.0-, S32.-)

Patient EducationClinical

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.

The full article covers:

  • What is a fracture?
  • What are the different types of fractures?
  • What causes fractures?
  • What are the symptoms of a fracture?
  • How are fractures diagnosed?
  • What are the treatments for fractures?
  • Can fractures be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S32Overview

What is the ICD-10 code for fracture of lumbar spine and pelvis?

S32 is the ICD-10-CM category for fracture of lumbar spine and pelvis, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is S32 (Fracture of lumbar spine and pelvis) a billable code?

No. This is a category header that groups the codes for fracture of lumbar spine and pelvis, and headers cannot be submitted on claims. Claims for fracture of lumbar spine and pelvis need a more specific code from this category, such as S32.000A, S32.000B, and S32.000D.

Can S32 be reported with S38.3?

Not as a rule. The Excludes1 note on S32 lists "transection of abdomen (S38.3)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is coded first with S32?

The Code First note reads: any associated spinal cord and spinal nerve injury (S34.-). When one of these applies, it is sequenced before S32.