2027 ICD-10-CM Diagnosis Code S34.6XXAInjury of peripheral nerve(s) at abdomen, lower back and pelvis level, initial encounter
ICD-10-CM Codes›S00–T88›S30-S39›S34
- Billable — Valid for Submission
- 7th Character A — Initial Encounter
- Chronic Condition
S34.6XXA is a billable ICD-10-CM diagnosis code for injury of peripheral nerve(s) at abdomen, lower back and pelvis level, 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 73 through 74, 963 through 965. Coders also document this condition as injury of ilioinguinal nerve. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to nerves, muscles and tendons, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Injury of ilioinguinal nerve
- Injury of peripheral nerve of abdomen
- Injury of peripheral nerve of lower back
- Injury of peripheral nerve of pelvis
- Open injury pudendal nerve
- Pelvic girdle and lower limb multiple nerve injuries
- Pudendal nerve injury
- Pudendal nerve neuropathy
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 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 S34.6XXA: its own notes plus those printed at S34, 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.
- 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
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.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- 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.
Notes
General instructions on how these codes are used.
- 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.
- The appropriate 7th character is to be added to each code from category S34
- 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 S34.6XXA, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming S34.6XXA: they are not reported together with it, unless the two conditions are unrelated.
Code First 1
These codes say to code first a condition named in the note, and S34.6XXA is one of the conditions named.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 S34.6XXA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About S34.6XXAOverview
Is S34.6XXA a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report injury of peripheral nerve(s) at abdomen, lower back and pelvis level, initial encounter on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What does the 7th character A in S34.6XXA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for injury of peripheral nerve(s) at abdomen, lower back and pelvis level, such as an emergency visit or first evaluation.
What MS-DRG does S34.6XXA group to?
When injury of peripheral nerve(s) at abdomen, lower back and pelvis level, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 964, 965, 74, 73, 963, with relative weights from 1.0054 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of S34.6XXA?
Under the General Equivalence Mappings, injury of peripheral nerve(s) at abdomen, lower back and pelvis level, initial encounter converts to ICD-9-CM 954.8 (injury trunk nerve NEC). The mapping is approximate, so confirm the match fits the documentation.
