2021 ICD-10-CM Code S32.3

Fracture of ilium

Version 2021

Not Valid for Submission

S32.3 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 ilium. 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.

ICD-10:S32.3
Short Description:Fracture of ilium
Long Description:Fracture of ilium

Code Classification

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).

Specific Coding for Fracture of ilium

Non-specific codes like S32.3 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 ilium:

  • NON-BILLABLE CODE - S32.30 for Unspecified fracture of ilium
  • NON-BILLABLE CODE - S32.301 for Unspecified fracture of right ilium
  • BILLABLE CODE - Use S32.301A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.301B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.301D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.301G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.301K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.301S for sequela
  • NON-BILLABLE CODE - S32.302 for Unspecified fracture of left ilium
  • BILLABLE CODE - Use S32.302A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.302B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.302D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.302G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.302K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.302S for sequela
  • NON-BILLABLE CODE - S32.309 for Unspecified fracture of unspecified ilium
  • BILLABLE CODE - Use S32.309A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.309B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.309D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.309G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.309K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.309S for sequela
  • NON-BILLABLE CODE - S32.31 for Avulsion fracture of ilium
  • NON-BILLABLE CODE - S32.311 for Displaced avulsion fracture of right ilium
  • BILLABLE CODE - Use S32.311A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.311B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.311D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.311G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.311K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.311S for sequela
  • NON-BILLABLE CODE - S32.312 for Displaced avulsion fracture of left ilium
  • BILLABLE CODE - Use S32.312A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.312B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.312D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.312G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.312K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.312S for sequela
  • NON-BILLABLE CODE - S32.313 for Displaced avulsion fracture of unspecified ilium
  • BILLABLE CODE - Use S32.313A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.313B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.313D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.313G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.313K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.313S for sequela
  • NON-BILLABLE CODE - S32.314 for Nondisplaced avulsion fracture of right ilium
  • BILLABLE CODE - Use S32.314A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.314B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.314D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.314G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.314K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.314S for sequela
  • NON-BILLABLE CODE - S32.315 for Nondisplaced avulsion fracture of left ilium
  • BILLABLE CODE - Use S32.315A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.315B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.315D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.315G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.315K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.315S for sequela
  • NON-BILLABLE CODE - S32.316 for Nondisplaced avulsion fracture of unspecified ilium
  • BILLABLE CODE - Use S32.316A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.316B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.316D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.316G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.316K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.316S for sequela
  • NON-BILLABLE CODE - S32.39 for Other fracture of ilium
  • NON-BILLABLE CODE - S32.391 for Other fracture of right ilium
  • BILLABLE CODE - Use S32.391A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.391B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.391D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.391G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.391K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.391S for sequela
  • NON-BILLABLE CODE - S32.392 for Other fracture of left ilium
  • BILLABLE CODE - Use S32.392A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.392B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.392D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.392G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.392K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.392S for sequela
  • NON-BILLABLE CODE - S32.399 for Other fracture of unspecified ilium
  • BILLABLE CODE - Use S32.399A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.399B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.399D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.399G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.399K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.399S for sequela

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 S32.3:


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.

Information for Patients


Fractures

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]

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)