2021 ICD-10-CM Codes for Disloc & sprain of joints & ligaments of lumbar spin & pelv (S33)

Instructional Notations

Includes Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

  • 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

Code Also Code Also
A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.

  • any associated open wound

Type 1 Excludes Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • nontraumatic rupture or displacement of lumbar intervertebral disc NOS M51
  • obstetric damage to pelvic joints and ligaments O71.6

Type 2 Excludes Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

  • dislocation and sprain of joints and ligaments of hip S73
  • strain of muscle of lower back and pelvis S39.01

7th Character Note 7th Character Note
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.

  • The appropriate 7th character is to be added to each code from category S33

7th Character 7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela
    • ICD-10 Index

      • Injury, poisoning and certain other consequences of external causes (S00–T98)

        • Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)

            • Disloc & sprain of joints & ligaments of lumbar spin & pelv (S33)
            • S33 - Disloc & sprain of joints & ligaments of lumbar spin & pelv NON-BILLABLE CODE
            • S33.0 - Traumatic rupture of lumbar intervertebral disc NON-BILLABLE CODE
            • S33.0XXA - Traumatic rupture of lumbar intervertebral disc, init encntr BILLABLE CODE
            • S33.0XXD - Traumatic rupture of lumbar intervertebral disc, subs encntr BILLABLE CODE
            • S33.0XXS - Traumatic rupture of lumbar intervertebral disc, sequela BILLABLE CODE
            • S33.1 - Subluxation and dislocation of lumbar vertebra NON-BILLABLE CODE
            • S33.10 - Subluxation and dislocation of unspecified lumbar vertebra NON-BILLABLE CODE
            • S33.100 - Subluxation of unspecified lumbar vertebra NON-BILLABLE CODE
            • S33.100A - Subluxation of unspecified lumbar vertebra, init encntr BILLABLE CODE
            • S33.100D - Subluxation of unspecified lumbar vertebra, subs encntr BILLABLE CODE
            • S33.100S - Subluxation of unspecified lumbar vertebra, sequela BILLABLE CODE
            • S33.101 - Dislocation of unspecified lumbar vertebra NON-BILLABLE CODE
            • S33.101A - Dislocation of unspecified lumbar vertebra, init encntr BILLABLE CODE
            • S33.101D - Dislocation of unspecified lumbar vertebra, subs encntr BILLABLE CODE
            • S33.101S - Dislocation of unspecified lumbar vertebra, sequela BILLABLE CODE
            • S33.11 - Subluxation and dislocation of L1/L2 lumbar vertebra NON-BILLABLE CODE
            • S33.110 - Subluxation of L1/L2 lumbar vertebra NON-BILLABLE CODE
            • S33.110A - Subluxation of L1/L2 lumbar vertebra, initial encounter BILLABLE CODE
            • S33.110D - Subluxation of L1/L2 lumbar vertebra, subsequent encounter BILLABLE CODE
            • S33.110S - Subluxation of L1/L2 lumbar vertebra, sequela BILLABLE CODE
            • S33.111 - Dislocation of L1/L2 lumbar vertebra NON-BILLABLE CODE
            • S33.111A - Dislocation of L1/L2 lumbar vertebra, initial encounter BILLABLE CODE
            • S33.111D - Dislocation of L1/L2 lumbar vertebra, subsequent encounter BILLABLE CODE
            • S33.111S - Dislocation of L1/L2 lumbar vertebra, sequela BILLABLE CODE
            • S33.12 - Subluxation and dislocation of L2/L3 lumbar vertebra NON-BILLABLE CODE
            • S33.120 - Subluxation of L2/L3 lumbar vertebra NON-BILLABLE CODE
            • S33.120A - Subluxation of L2/L3 lumbar vertebra, initial encounter BILLABLE CODE
            • S33.120D - Subluxation of L2/L3 lumbar vertebra, subsequent encounter BILLABLE CODE
            • S33.120S - Subluxation of L2/L3 lumbar vertebra, sequela BILLABLE CODE
            • S33.121 - Dislocation of L2/L3 lumbar vertebra NON-BILLABLE CODE
            • S33.121A - Dislocation of L2/L3 lumbar vertebra, initial encounter BILLABLE CODE
            • S33.121D - Dislocation of L2/L3 lumbar vertebra, subsequent encounter BILLABLE CODE
            • S33.121S - Dislocation of L2/L3 lumbar vertebra, sequela BILLABLE CODE
            • S33.13 - Subluxation and dislocation of L3/L4 lumbar vertebra NON-BILLABLE CODE
            • S33.130 - Subluxation of L3/L4 lumbar vertebra NON-BILLABLE CODE
            • S33.130A - Subluxation of L3/L4 lumbar vertebra, initial encounter BILLABLE CODE
            • S33.130D - Subluxation of L3/L4 lumbar vertebra, subsequent encounter BILLABLE CODE
            • S33.130S - Subluxation of L3/L4 lumbar vertebra, sequela BILLABLE CODE
            • S33.131 - Dislocation of L3/L4 lumbar vertebra NON-BILLABLE CODE
            • S33.131A - Dislocation of L3/L4 lumbar vertebra, initial encounter BILLABLE CODE
            • S33.131D - Dislocation of L3/L4 lumbar vertebra, subsequent encounter BILLABLE CODE
            • S33.131S - Dislocation of L3/L4 lumbar vertebra, sequela BILLABLE CODE
            • S33.14 - Subluxation and dislocation of L4/L5 lumbar vertebra NON-BILLABLE CODE
            • S33.140 - Subluxation of L4/L5 lumbar vertebra NON-BILLABLE CODE
            • S33.140A - Subluxation of L4/L5 lumbar vertebra, initial encounter BILLABLE CODE
            • S33.140D - Subluxation of L4/L5 lumbar vertebra, subsequent encounter BILLABLE CODE
            • S33.140S - Subluxation of L4/L5 lumbar vertebra, sequela BILLABLE CODE
            • S33.141 - Dislocation of L4/L5 lumbar vertebra NON-BILLABLE CODE
            • S33.141A - Dislocation of L4/L5 lumbar vertebra, initial encounter BILLABLE CODE
            • S33.141D - Dislocation of L4/L5 lumbar vertebra, subsequent encounter BILLABLE CODE
            • S33.141S - Dislocation of L4/L5 lumbar vertebra, sequela BILLABLE CODE
            • S33.2 - Dislocation of sacroiliac and sacrococcygeal joint NON-BILLABLE CODE
            • S33.2XXA - Dislocation of sacroiliac and sacrococcygeal joint, init BILLABLE CODE
            • S33.2XXD - Dislocation of sacroiliac and sacrococcygeal joint, subs BILLABLE CODE
            • S33.2XXS - Dislocation of sacroiliac and sacrococcygeal joint, sequela BILLABLE CODE
            • S33.3 - Dislocation of oth and unsp parts of lumbar spine and pelvis NON-BILLABLE CODE
            • S33.30 - Dislocation of unspecified parts of lumbar spine and pelvis NON-BILLABLE CODE
            • S33.30XA - Dislocation of unsp parts of lumbar spine and pelvis, init BILLABLE CODE
            • S33.30XD - Dislocation of unsp parts of lumbar spine and pelvis, subs BILLABLE CODE
            • S33.30XS - Dislocation of unsp parts of lumbar spine & pelvis, sequela BILLABLE CODE
            • S33.39 - Dislocation of other parts of lumbar spine and pelvis NON-BILLABLE CODE
            • S33.39XA - Dislocation of oth prt lumbar spine and pelvis, init encntr BILLABLE CODE
            • S33.39XD - Dislocation of oth prt lumbar spine and pelvis, subs encntr BILLABLE CODE
            • S33.39XS - Dislocation of oth parts of lumbar spine and pelvis, sequela BILLABLE CODE
            • S33.4 - Traumatic rupture of symphysis pubis NON-BILLABLE CODE
            • S33.4XXA - Traumatic rupture of symphysis pubis, initial encounter BILLABLE CODE
            • S33.4XXD - Traumatic rupture of symphysis pubis, subsequent encounter BILLABLE CODE
            • S33.4XXS - Traumatic rupture of symphysis pubis, sequela BILLABLE CODE
            • S33.5 - Sprain of ligaments of lumbar spine NON-BILLABLE CODE
            • S33.5XXA - Sprain of ligaments of lumbar spine, initial encounter BILLABLE CODE
            • S33.5XXD - Sprain of ligaments of lumbar spine, subsequent encounter BILLABLE CODE
            • S33.5XXS - Sprain of ligaments of lumbar spine, sequela BILLABLE CODE
            • S33.6 - Sprain of sacroiliac joint NON-BILLABLE CODE
            • S33.6XXA - Sprain of sacroiliac joint, initial encounter BILLABLE CODE
            • S33.6XXD - Sprain of sacroiliac joint, subsequent encounter BILLABLE CODE
            • S33.6XXS - Sprain of sacroiliac joint, sequela BILLABLE CODE
            • S33.8 - Sprain of other parts of lumbar spine and pelvis NON-BILLABLE CODE
            • S33.8XXA - Sprain of oth parts of lumbar spine and pelvis, init encntr BILLABLE CODE
            • S33.8XXD - Sprain of oth parts of lumbar spine and pelvis, subs encntr BILLABLE CODE
            • S33.8XXS - Sprain of other parts of lumbar spine and pelvis, sequela BILLABLE CODE
            • S33.9 - Sprain of unspecified parts of lumbar spine and pelvis NON-BILLABLE CODE
            • S33.9XXA - Sprain of unsp parts of lumbar spine and pelvis, init encntr BILLABLE CODE
            • S33.9XXD - Sprain of unsp parts of lumbar spine and pelvis, subs encntr BILLABLE CODE
            • S33.9XXS - Sprain of unsp parts of lumbar spine and pelvis, sequela BILLABLE CODE