2026 ICD-10-CM Diagnosis Code S32Fracture of lumbar spine and pelvis
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
Code Classification
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 2026, published by CMS and the National Center for Health Statistics.
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Includes
- fracture of lumbosacral neural arch
- fracture of lumbosacral spinous process
- fracture of lumbosacral transverse process
- fracture of lumbosacral vertebra
- fracture of lumbosacral vertebral arch
Code First
- any associated spinal cord and spinal nerve injury S34
Type 1 Excludes
- transection of abdomen S38.3
Type 2 Excludes
- fracture of hip NOS S72.0
7th Character Note
- The appropriate 7th character is to be added to each code from category S32
7th Character
- A - initial encounter for closed fracture
- B - initial encounter for open fracture
- D - subsequent encounter for fracture with routine healing
- G - subsequent encounter for fracture with delayed healing
- K - subsequent encounter for fracture with nonunion
- S - sequela
- 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
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
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.
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.
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.
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.
Indicates that a seventh character is to be assigned to codes in a subcategory.
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
Questions About S32Overview
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.
