2027 ICD-10-CM Diagnosis Code S33Dislocation and sprain of joints and ligaments of lumbar spine and pelvis
S33 is a non-billable ICD-10-CM category code for dislocation and sprain of joints and ligaments of lumbar spine and pelvis, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S33.0XXA, S33.0XXD, S33.0XXS, and S33.100A.
Code Identity
Code Classification
Specific Coding for Disloc & sprain of joints & ligaments of lumbar spin & pelvOverview
Non-specific codes like S33 require more characters. Use one of these billable codes instead:
S33.0 for Traumatic rupture of lumbar intervertebral disc
S33.1 for Subluxation and dislocation of lumbar vertebra
S33.10 for Subluxation and dislocation of unspecified lumbar vertebra
S33.11 for Subluxation and dislocation of L1/L2 lumbar vertebra
S33.12 for Subluxation and dislocation of L2/L3 lumbar vertebra
S33.13 for Subluxation and dislocation of L3/L4 lumbar vertebra
S33.14 for Subluxation and dislocation of L4/L5 lumbar vertebra
S33.2 for Dislocation of sacroiliac and sacrococcygeal joint
S33.3 for Dislocation of other and unspecified parts of lumbar spine and pelvis
S33.30 for Dislocation of unspecified parts of lumbar spine and pelvis
S33.39 for Dislocation of other parts of lumbar spine and pelvis
S33.4 for Traumatic rupture of symphysis pubis
S33.5 for Sprain of ligaments of lumbar spine
S33.6 for Sprain of sacroiliac joint
S33.8 for Sprain of other parts of lumbar spine and pelvis
S33.9 for Sprain of unspecified parts of lumbar spine and pelvis
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments of lumbar spine and pelvis (S33). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
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 S33: 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.
- avulsion of joint or ligament of lumbar spine and pelvis
- laceration of cartilage, joint or ligament of lumbar spine and pelvis
- sprain of cartilage, joint or ligament of lumbar spine and pelvis
- traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis
- traumatic rupture of joint or ligament of lumbar spine and pelvis
- traumatic subluxation of joint or ligament of lumbar spine and pelvis
- traumatic tear of joint or ligament of lumbar spine and pelvis
- 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.
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.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Code Also
A second code may be needed to fully describe the condition; the note gives no sequencing direction.
- any associated open wound
Notes
General instructions on how these codes are used.
- 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 S33
- Ainitial encounter
- Dsubsequent encounter
- 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 S33, its category, or a range that includes it.
Excludes2 1
These codes carry an Excludes2 note naming S33: its condition is not part of those codes, and both may be reported when the patient has both.
Patient EducationClinical
Dislocations
Dislocations are joint injuries that force the ends of your bones out of position. The cause is often a fall or a blow, sometimes from playing a contact sport. You can dislocate your ankles, knees, shoulders, hips, elbows and jaw. You can also dislocate your finger and toe joints.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About S33Overview
Is S33 a billable code?
No. This is a category header that groups the codes for dislocation and sprain of joints and ligaments of lumbar spine and pelvis, and headers cannot be submitted on claims. Claims for dislocation and sprain of joints and ligaments of lumbar spine and pelvis need a more specific code from this category, such as S33.0XXA, S33.0XXD, and S33.0XXS.
Can S33 be reported with a code from M51?
Not as a rule. The Excludes1 note on S33 lists "nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-)". 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).
