2021 ICD-10-CM Code S32.5

Fracture of pubis

Version 2021

Not Valid for Submission

S32.5 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 pubis. 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:S32.5
Short Description:Fracture of pubis
Long Description:Fracture of pubis

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 pubis

Non-specific codes like S32.5 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 pubis:

  • NON-BILLABLE CODE - S32.50 for Unspecified fracture of pubis
  • NON-BILLABLE CODE - S32.501 for Unspecified fracture of right pubis
  • BILLABLE CODE - Use S32.501A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.501B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.501D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.501G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.501K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.501S for sequela
  • NON-BILLABLE CODE - S32.502 for Unspecified fracture of left pubis
  • BILLABLE CODE - Use S32.502A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.502B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.502D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.502G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.502K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.502S for sequela
  • NON-BILLABLE CODE - S32.509 for Unspecified fracture of unspecified pubis
  • BILLABLE CODE - Use S32.509A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.509B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.509D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.509G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.509K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.509S for sequela
  • NON-BILLABLE CODE - S32.51 for Fracture of superior rim of pubis
  • NON-BILLABLE CODE - S32.511 for Fracture of superior rim of right pubis
  • BILLABLE CODE - Use S32.511A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.511B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.511D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.511G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.511K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.511S for sequela
  • NON-BILLABLE CODE - S32.512 for Fracture of superior rim of left pubis
  • BILLABLE CODE - Use S32.512A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.512B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.512D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.512G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.512K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.512S for sequela
  • NON-BILLABLE CODE - S32.519 for Fracture of superior rim of unspecified pubis
  • BILLABLE CODE - Use S32.519A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.519B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.519D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.519G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.519K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.519S for sequela
  • NON-BILLABLE CODE - S32.59 for Other specified fracture of pubis
  • NON-BILLABLE CODE - S32.591 for Other specified fracture of right pubis
  • BILLABLE CODE - Use S32.591A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.591B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.591D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.591G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.591K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.591S for sequela
  • NON-BILLABLE CODE - S32.592 for Other specified fracture of left pubis
  • BILLABLE CODE - Use S32.592A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.592B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.592D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.592G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.592K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.592S for sequela
  • NON-BILLABLE CODE - S32.599 for Other specified fracture of unspecified pubis
  • BILLABLE CODE - Use S32.599A for initial encounter for closed fracture
  • BILLABLE CODE - Use S32.599B for initial encounter for open fracture
  • BILLABLE CODE - Use S32.599D for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S32.599G for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S32.599K for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S32.599S 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 S32.5:


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.


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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)