2027 ICD-10-CM Diagnosis Code S33.9XXDSprain of unspecified parts of lumbar spine and pelvis, subsequent encounter

ICD-10-CM Codes›S00–T88›S30-S39›S33

ICD-10-CM S33.9XXD
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S33.9XXD is a billable ICD-10-CM diagnosis code for sprain of unspecified parts of lumbar spine and pelvis, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. Coders also document this condition as dislocations, sprains and strains involving multiple body regions. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Sprains and strains, subsequent encounter.

Code Identity

ICD-10-CM Code
S33.9XXD
Billable Status
Yes — Valid for Submission
Code Describes
Sprain of unspecified parts of lumbar spine and pelvis, subsequent encounter
Short Description
Sprain of unsp parts of lumbar spine and pelvis, subs encntr
Parent Code
S33.9
Sprain of unspecified parts of lumbar spine and pelvis

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 CodeS33.9XXDSprain of unspecified parts of lumbar spine and pelvis, subsequent encounter

Present on Admission (POA)Billing

S33.9XXD is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Dislocations, sprains and strains involving multiple body regions
  • Dislocations, sprains and strains involving thorax with lower back and pelvis
  • Dislocations/sprains/strains
  • Lumbar sprain
  • Sprain of ligament of lumbosacral joint
  • Sprain of sacrococcygeal ligament
  • Sprain of spinal ligament

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 S33.9XXD: 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
  • Dsubsequent encounter this code
  • 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 S33.9XXD, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming S33.9XXD: 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 INJ061
Sprains and strains, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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:

Read the full article at MedlinePlus

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

Convert S33.9XXD to ICD-9-CMHistory

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

ICD-9-CM
V58.89 Other specfied aftercare
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 S33.9XXDOverview

Is S33.9XXD (Sprain of unspecified parts of lumbar spine and pelvis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report sprain of unspecified parts of lumbar spine and pelvis, subsequent encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character D in S33.9XXD mean?

The final character D marks a subsequent encounter: use it for routine care while the sprain of unspecified parts of lumbar spine and pelvis is healing, after active treatment has ended.

What MS-DRG does S33.9XXD group to?

When sprain of unspecified parts of lumbar spine and pelvis, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 950, 949, with relative weights from 0.7661 to 1.1231 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S33.9XXD exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for sprain of unspecified parts of lumbar spine and pelvis, subsequent encounter on inpatient claims. The code appears in the Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39) range of the CMS exempt list.

Can S33.9XXD be reported with a code from M51?

Not as a rule. The Excludes1 note at S33, which applies to S33.9XXD, 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).