2026 ICD-10-CM Diagnosis Code S34.5XXSInjury of lumbar, sacral and pelvic sympathetic nerves, sequela

ICD-10-CM Codes›S00–T88›S30-S39›S34

ICD-10-CM S34.5XXS
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S34.5XXS is a billable ICD-10-CM diagnosis code for injury of lumbar, sacral and pelvic sympathetic nerves, sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury, sequela.

Code Identity

ICD-10-CM Code
S34.5XXS
Billable Status
Yes — Valid for Submission
Code Describes
Injury of lumbar, sacral and pelvic sympathetic nerves, sequela
Short Description
Inj lumbar, sacral and pelvic sympathetic nerves, sequela
Parent Code
S34.5
Injury of lumbar, sacral and pelvic sympathetic nerves

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
CategoryS34Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level
This CodeS34.5XXSInjury of lumbar, sacral and pelvic sympathetic nerves, sequela

Present on Admission (POA)Billing

S34.5XXS is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Injury of abdominal sympathetic plexus
  • Injury of abdominopelvic portion of sympathetic nervous system
  • Injury of celiac ganglion
  • Injury of celiac plexus
  • Injury of ganglion of nervous system
  • Injury of hypogastric plexus
  • Injury of inferior mesenteric plexus
  • Injury of peripheral nerve of abdomen
  • Injury of splanchnic nerve
  • Injury of superior mesenteric plexus
  • Sympathetic nerve injury
  • Sympathetic trunk injury

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.

Clinical ClassificationClinical

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

CCSR INJ073
Injury, sequela
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Peripheral Nerve Disorders

Nerves are like wires that carry messages back and forth between your brain and your body. Your peripheral nerves branch off from your brain and spinal cord and connect to all parts of your body, including your muscles and organs.

The full article covers:

  • What are peripheral nerves?
  • What are peripheral nerve disorders?
  • What causes peripheral nerve disorders?
  • What are the symptoms of peripheral nerve disorders?
  • How are peripheral nerve disorders diagnosed?
  • What are the treatments for peripheral nerve disorders?
  • Can peripheral nerve disorders be prevented?

Read the full article at MedlinePlus

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

Convert S34.5XXS to ICD-9-CMHistory

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

ICD-9-CM
907.3 Lt eff nerv inj trnk NEC
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S34.5XXSOverview

Is S34.5XXS (Injury of lumbar, sacral and pelvic sympathetic nerves) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report injury of lumbar, sacral and pelvic sympathetic nerves, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character S in S34.5XXS mean?

The final character S makes this a sequela code: it reports a lingering problem that remains after the injury of lumbar, sacral and pelvic sympathetic nerves itself has resolved, not the original event.

Is S34.5XXS 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 injury of lumbar, sacral and pelvic sympathetic nerves, sequela on inpatient claims.

What is the ICD-9 equivalent of S34.5XXS?

Under the General Equivalence Mappings, injury of lumbar, sacral and pelvic sympathetic nerves, sequela converts to ICD-9-CM 907.3 (lt eff nerv inj trnk NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.