2027 ICD-10-CM Diagnosis Code S33.4XXATraumatic rupture of symphysis pubis, initial encounter

ICD-10-CM Codes›S00–T88›S30-S39›S33

ICD-10-CM S33.4XXA
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S33.4XXA is a billable ICD-10-CM diagnosis code for traumatic rupture of symphysis pubis, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 537 through 538, 963 through 965. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Dislocations, initial encounter.

Code Identity

ICD-10-CM Code
S33.4XXA
Billable Status
Yes — Valid for Submission
Code Describes
Traumatic rupture of symphysis pubis, initial encounter
Short Description
Traumatic rupture of symphysis pubis, initial encounter
Same as the full description in the CMS dataset.
Parent Code
S33.4
Traumatic rupture of symphysis pubis

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS30-S39Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
CategoryS33Dislocation and sprain of joints and ligaments of lumbar spine and pelvis
This CodeS33.4XXATraumatic rupture of symphysis pubis, initial encounter

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Closed complete rupture pubic symphysis
  • Closed traumatic dislocation of pelvis
  • Complete disruption of pelvic ring
  • Complete tear, symphysis pubis ligament
  • Dislocation of symphysis pubis
  • Dislocation of symphysis pubis in pregnancy
  • Fracture dislocation of symphysis pubis
  • Fracture subluxation of symphysis pubis
  • Open complete rupture pubic symphysis
  • Subluxation of symphysis pubis
  • Symphysiolysis
  • Traumatic pubic symphysis separation
  • Traumatic rupture of symphysis pubis
  • Traumatic rupture of symphysis pubis without disruption of pelvic ring

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 S33.4XXA: its own notes plus those printed at S33, 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.

From S33 Dislocation and sprain of joints and ligaments of lumbar spine and pelvis applies to 57 codes
  • 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
From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • 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.

From S33 Dislocation and sprain of joints and ligaments of lumbar spine and pelvis applies to 57 codes
  • nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-)
  • obstetric damage to pelvic joints and ligaments (O71.6)

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.

From S33 Dislocation and sprain of joints and ligaments of lumbar spine and pelvis applies to 57 codes
  • dislocation and sprain of joints and ligaments of hip (S73.-)
  • strain of muscle of lower back and pelvis (S39.01-)
From Block S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals applies to 2,679 codes
  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

From S33 Dislocation and sprain of joints and ligaments of lumbar spine and pelvis applies to 57 codes
  • any associated open wound

Notes

General instructions on how these codes are used.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

From S33 Dislocation and sprain of joints and ligaments of lumbar spine and pelvis applies to 57 codes
  • The appropriate 7th character is to be added to each code from category S33
Values for category S33 Encounter: Initial, Subsequent, Sequela
  • Ainitial encounter this code
  • 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 S33.4XXA, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming S33.4XXA: its condition is not part of those codes, and both may be reported when the patient has both.

  • S39 Other and unspecified injuries of abdomen, lower back, pelvis and external genitals
    sprain of joints and ligaments of lumbar spine and pelvis (S33.-) names S33.-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ007
Dislocations, initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

The full article covers:

  • What is a fracture?
  • What are the different types of fractures?
  • What causes fractures?
  • What are the symptoms of a fracture?
  • How are fractures diagnosed?
  • What are the treatments for fractures?
  • Can fractures be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S33.4XXA to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
848.5 Sprain of pelvis
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S33.4XXAOverview

What is the ICD-10 code for traumatic rupture of symphysis pubis, initial encounter?

The ICD-10-CM code for traumatic rupture of symphysis pubis, initial encounter is S33.4XXA (sometimes written as S334XXA). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is S33.4XXA (Traumatic rupture of symphysis pubis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report traumatic rupture of symphysis pubis, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in S33.4XXA mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for traumatic rupture of symphysis pubis, such as an emergency visit or first evaluation.

What MS-DRG does S33.4XXA group to?

When traumatic rupture of symphysis pubis, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 537, 538, 963, with relative weights from 0.7118 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.

Can S33.4XXA be reported with a code from M51?

Not as a rule. The Excludes1 note at S33, which applies to S33.4XXA, 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).