2021 ICD-10-CM Code S33

Dislocation and sprain of joints and ligaments of lumbar spine and pelvis

Version 2021

Not Valid for Submission

S33 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of dislocation and sprain of joints and ligaments of lumbar spine and pelvis. 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.

Short Description:Disloc & sprain of joints & ligaments of lumbar spin & pelv
Long Description:Dislocation and sprain of joints and ligaments of lumbar spine and pelvis

Code Classification

Coding Guidelines

The appropriate 7th character is to be added to each code from block Disloc & sprain of joints & ligaments of lumbar spin & pelv (S33). Use the following options for the aplicable episode of care:

Specific Coding for Disloc & sprain of joints & ligaments of lumbar spin & pelv

Non-specific codes like S33 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 disloc & sprain of joints & ligaments of lumbar spin & pelv:

  • NON-BILLABLE CODE - S33.0 for Traumatic rupture of lumbar intervertebral disc
  • NON-BILLABLE CODE - S33.1 for Subluxation and dislocation of lumbar vertebra
  • NON-BILLABLE CODE - S33.10 for Subluxation and dislocation of unspecified lumbar vertebra
  • NON-BILLABLE CODE - S33.11 for Subluxation and dislocation of L1/L2 lumbar vertebra
  • NON-BILLABLE CODE - S33.12 for Subluxation and dislocation of L2/L3 lumbar vertebra
  • NON-BILLABLE CODE - S33.13 for Subluxation and dislocation of L3/L4 lumbar vertebra
  • NON-BILLABLE CODE - S33.14 for Subluxation and dislocation of L4/L5 lumbar vertebra
  • NON-BILLABLE CODE - S33.2 for Dislocation of sacroiliac and sacrococcygeal joint
  • NON-BILLABLE CODE - S33.3 for Dislocation of other and unspecified parts of lumbar spine and pelvis
  • NON-BILLABLE CODE - S33.30 for Dislocation of unspecified parts of lumbar spine and pelvis
  • NON-BILLABLE CODE - S33.39 for Dislocation of other parts of lumbar spine and pelvis
  • NON-BILLABLE CODE - S33.4 for Traumatic rupture of symphysis pubis
  • NON-BILLABLE CODE - S33.5 for Sprain of ligaments of lumbar spine
  • NON-BILLABLE CODE - S33.6 for Sprain of sacroiliac joint
  • NON-BILLABLE CODE - S33.8 for Sprain of other parts of lumbar spine and pelvis
  • NON-BILLABLE CODE - S33.9 for Sprain of unspecified parts of lumbar spine and pelvis

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 S33:


This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

Code Also

Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.

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.

Type 2 Excludes

Type 2 Excludes
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.

7th Character Note

7th Character Note
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.

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.

Information for Patients


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. Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to move it.

A dislocated joint is an emergency. If you have one, seek medical attention. Treatment depends on which joint you dislocate and the severity of the injury. It might include manipulations to reposition your bones, medicine, a splint or sling, and rehabilitation. When properly repositioned, a joint will usually function and move normally again in a few weeks. Once you dislocate a shoulder or kneecap, you are more likely to dislocate it again. Wearing protective gear during sports may help prevent dislocations.

[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

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]

Sprains and Strains

A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.

A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.

At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

[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)