2026 ICD-10-CM Diagnosis Code S34Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level
S34 is a non-billable ICD-10-CM category code for injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S34.01XA, S34.01XD, S34.01XS, and S34.02XA.
Code Identity
Code Classification
Specific Coding for Inj lower spinl cord and nrv at abd, low back and pelv levelOverview
Non-specific codes like S34 require more characters. Use one of these billable codes instead:
S34.0 for Concussion and edema of lumbar and sacral spinal cord
S34.01 for Concussion and edema of lumbar spinal cord
S34.02 for Concussion and edema of sacral spinal cord
S34.1 for Other and unspecified injury of lumbar and sacral spinal cord
S34.10 for Unspecified injury to lumbar spinal cord
S34.11 for Complete lesion of lumbar spinal cord
S34.12 for Incomplete lesion of lumbar spinal cord
S34.13 for Other and unspecified injury to sacral spinal cord
S34.2 for Injury of nerve root of lumbar and sacral spine
S34.21 for Injury of nerve root of lumbar spine
S34.22 for Injury of nerve root of sacral spine
S34.3 for Injury of cauda equina
S34.4 for Injury of lumbosacral plexus
S34.5 for Injury of lumbar, sacral and pelvic sympathetic nerves
S34.6 for Injury of peripheral nerve(s) at abdomen, lower back and pelvis level
S34.8 for Injury of other nerves at abdomen, lower back and pelvis level
S34.9 for Injury of unspecified nerves at abdomen, lower back and pelvis level
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level (S34). 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 2026, published by CMS and the National Center for Health Statistics.
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Code Also
- any associated:
- fracture of vertebra S22.0 S32.0
- open wound of abdomen, lower back and pelvis S31
- transient paralysis R29.5
7th Character Note
- The appropriate 7th character is to be added to each code from category S34
7th Character
- A - initial encounter
- D - subsequent encounter
- S - sequela
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
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.
Indicates that a seventh character is to be assigned to codes in a subcategory.
Patient EducationClinical
Spinal Cord Injuries
Your spinal cord is a bundle of nerves that runs down the middle of your back. It carries signals back and forth between your body and your brain. A spinal cord injury disrupts the signals. Spinal cord injuries usually begin with a blow that fractures (breaks) or dislocates your vertebrae, the bone disks that make up your spine.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About S34Overview
Is S34 a billable code?
No. This is a category header that groups the codes for injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level, and headers cannot be submitted on claims. Claims for injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level need a more specific code from this category, such as S34.01XA, S34.01XD, and S34.01XS.
