Version 2024

2024 ICD-10-CM Diagnosis Code S32.01

Fracture of first lumbar vertebra

ICD-10-CM Code:
S32.01
ICD-10 Code for:
Fracture of first lumbar vertebra
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
      (S30-S39)
      • Fracture of lumbar spine and pelvis
        (S32)

S32.01 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 first lumbar vertebra. The code is not specific and is NOT valid for the year 2024 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.

Specific Coding Applicable to Fracture of first lumbar vertebra

Non-specific codes like S32.01 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for fracture of first lumbar vertebra:

  • S32.010 for Wedge compression fracture of first lumbar vertebra - NON-BILLABLE CODE

  • Use S32.010A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.010B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.010D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.010G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.010K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.010S for sequela - BILLABLE CODE

  • S32.011 for Stable burst fracture of first lumbar vertebra - NON-BILLABLE CODE

  • Use S32.011A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.011B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.011D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.011G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.011K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.011S for sequela - BILLABLE CODE

  • S32.012 for Unstable burst fracture of first lumbar vertebra - NON-BILLABLE CODE

  • Use S32.012A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.012B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.012D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.012G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.012K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.012S for sequela - BILLABLE CODE

  • S32.018 for Other fracture of first lumbar vertebra - NON-BILLABLE CODE

  • Use S32.018A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.018B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.018D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.018G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.018K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.018S for sequela - BILLABLE CODE

  • S32.019 for Unspecified fracture of first lumbar vertebra - NON-BILLABLE CODE

  • Use S32.019A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.019B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.019D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.019G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.019K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.019S for sequela - BILLABLE CODE

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd 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) for each encounter where 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).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

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).

Patient Education


Fractures

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:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

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]

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:

  • Infections
  • Injuries
  • Tumors
  • Conditions, such as ankylosing spondylitis and scoliosis
  • Bone changes that come with age, such as spinal stenosis and herniated disks

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 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.