7th Character Values: Skull, Spine and Pelvis Fracture Encounter ICD-10-CM
Fracture encounter status for skull, facial, vertebral, rib and pelvic fractures. This set has no malunion (P) value. In FY 2027 4 categories use this set, covering 2,070 complete codes.
What Each Value Means 6 values
| Character | Meaning |
|---|---|
| A | initial encounter for closed fracture |
| B | initial encounter for open fracture |
| D | subsequent encounter for fracture with routine healing |
| G | subsequent encounter for fracture with delayed healing |
| K | subsequent encounter for fracture with nonunion |
| S | sequela |
Categories That Use These Values 4 categories
| Category | Title | Chapter | Codes |
|---|---|---|---|
| S02 | Fracture of skull and facial bones | Ch. 19 | 456 |
| S12 | Fracture of cervical vertebra and other parts of neck | Ch. 19 | 414 |
| S22 | Fracture of rib(s), sternum and thoracic spine | Ch. 19 | 354 |
| S32 | Fracture of lumbar spine and pelvis | Ch. 19 | 846 |
Every code under these categories takes one of the values above in the seventh position, with X placeholders when the code is shorter than six characters. For example, a code under S02 ends in A for initial encounter for closed fracture. “Codes” counts the complete 7-character codes.
Other 7th Character Value Sets
Questions About These 7th Characters
What do the 7th characters A, B, D, G, K, S mean?
In this set: A (initial encounter for closed fracture); B (initial encounter for open fracture); D (subsequent encounter for fracture with routine healing); G (subsequent encounter for fracture with delayed healing); K (subsequent encounter for fracture with nonunion); S (sequela).
Which ICD-10-CM categories use the Skull, Spine and Pelvis Fracture Encounter 7th characters?
4 categories and subcategories use them in FY 2027, covering 2,070 codes. The table above lists each one with its chapter and code count.
What if the code is shorter than six characters?
Fill the empty positions with the placeholder X so the 7th character is in the seventh position. A code that requires a 7th character is invalid without it (Sections I.A.4 and I.A.5).
Related References
Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.
