Version 2024

2024 ICD-10-CM Diagnosis Code S32

Fracture of lumbar spine and pelvis

ICD-10-CM Code:
S32
ICD-10 Code for:
Fracture of lumbar spine and pelvis
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
      (S30-S39)
      • Fracture of lumbar spine and pelvis
        (S32)

S32 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of lumbar spine and pelvis. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Fracture of lumbar spine and pelvis

Non-specific codes like S32 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for fracture of lumbar spine and pelvis:

  • S32.0 for Fracture of lumbar vertebra - NON-BILLABLE CODE

  • S32.00 for Fracture of unspecified lumbar vertebra - NON-BILLABLE CODE

  • S32.01 for Fracture of first lumbar vertebra - NON-BILLABLE CODE

  • S32.02 for Fracture of second lumbar vertebra - NON-BILLABLE CODE

  • S32.03 for Fracture of third lumbar vertebra - NON-BILLABLE CODE

  • S32.04 for Fracture of fourth lumbar vertebra - NON-BILLABLE CODE

  • S32.05 for Fracture of fifth lumbar vertebra - NON-BILLABLE CODE

  • S32.1 for Fracture of sacrum - NON-BILLABLE CODE

  • S32.10 for Unspecified fracture of sacrum - NON-BILLABLE CODE

  • S32.11 for Zone I fracture of sacrum - NON-BILLABLE CODE

  • S32.12 for Zone II fracture of sacrum - NON-BILLABLE CODE

  • S32.13 for Zone III fracture of sacrum - NON-BILLABLE CODE

  • S32.14 for Type 1 fracture of sacrum - NON-BILLABLE CODE

  • S32.15 for Type 2 fracture of sacrum - NON-BILLABLE CODE

  • S32.16 for Type 3 fracture of sacrum - NON-BILLABLE CODE

  • S32.17 for Type 4 fracture of sacrum - NON-BILLABLE CODE

  • S32.19 for Other fracture of sacrum - NON-BILLABLE CODE

  • S32.2 for Fracture of coccyx - NON-BILLABLE CODE

  • S32.3 for Fracture of ilium - NON-BILLABLE CODE

  • S32.30 for Unspecified fracture of ilium - NON-BILLABLE CODE

  • S32.31 for Avulsion fracture of ilium - NON-BILLABLE CODE

  • S32.39 for Other fracture of ilium - NON-BILLABLE CODE

  • S32.4 for Fracture of acetabulum - NON-BILLABLE CODE

  • S32.40 for Unspecified fracture of acetabulum - NON-BILLABLE CODE

  • S32.41 for Fracture of anterior wall of acetabulum - NON-BILLABLE CODE

  • S32.42 for Fracture of posterior wall of acetabulum - NON-BILLABLE CODE

  • S32.43 for Fracture of anterior column [iliopubic] of acetabulum - NON-BILLABLE CODE

  • S32.44 for Fracture of posterior column [ilioischial] of acetabulum - NON-BILLABLE CODE

  • S32.45 for Transverse fracture of acetabulum - NON-BILLABLE CODE

  • S32.46 for Associated transverse-posterior fracture of acetabulum - NON-BILLABLE CODE

  • S32.47 for Fracture of medial wall of acetabulum - NON-BILLABLE CODE

  • S32.48 for Dome fracture of acetabulum - NON-BILLABLE CODE

  • S32.49 for Other specified fracture of acetabulum - NON-BILLABLE CODE

  • S32.5 for Fracture of pubis - NON-BILLABLE CODE

  • S32.50 for Unspecified fracture of pubis - NON-BILLABLE CODE

  • S32.51 for Fracture of superior rim of pubis - NON-BILLABLE CODE

  • S32.59 for Other specified fracture of pubis - NON-BILLABLE CODE

  • S32.6 for Fracture of ischium - NON-BILLABLE CODE

  • S32.60 for Unspecified fracture of ischium - NON-BILLABLE CODE

  • S32.61 for Avulsion fracture of ischium - NON-BILLABLE CODE

  • S32.69 for Other specified fracture of ischium - NON-BILLABLE CODE

  • S32.8 for Fracture of other parts of pelvis - NON-BILLABLE CODE

  • S32.81 for Multiple fractures of pelvis with disruption of pelvic ring - NON-BILLABLE CODE

  • S32.82 for Multiple fractures of pelvis without disruption of pelvic ring - NON-BILLABLE CODE

  • S32.89 for Fracture of other parts of pelvis - NON-BILLABLE CODE

  • S32.9 for Fracture of unspecified parts of lumbosacral spine and pelvis - NON-BILLABLE CODE

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • fracture of lumbosacral neural arch
  • fracture of lumbosacral spinous process
  • fracture of lumbosacral transverse process
  • fracture of lumbosacral vertebra
  • fracture of lumbosacral vertebral arch

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • any associated spinal cord and spinal nerve injury S34

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.
  • transection of abdomen S38.3

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.
  • fracture of hip NOS S72.0

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 S32

7th Character

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

  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as opened or closed should be coded to closed

Patient Education


Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Hip Injuries and Disorders

Your hip is the joint where your femur (thigh bone) meets your pelvis (hip bone). There are two main parts: a ball at the end of the femur, which fits in a socket in the pelvis. Your hip is known as a ball-and-socket joint. This is because you have a ball at the end of your femur, and it fits into a socket in your pelvis. This makes your hips very stable and allows for a wide range of motion. When they are healthy, it takes great force to hurt them. However, playing sports, running, overuse, or falling can sometimes lead to hip injuries such as:

  • Strains
  • Bursitis
  • Dislocations
  • Fractures (broken bones)

Certain diseases also lead to hip injuries or problems. Osteoarthritis can cause pain and limited motion. Osteoporosis of the hip causes weak bones that break easily. Both of these are common in older people.

Another problem is hip dysplasia, where the ball at the end of the femur is loose in the hip socket. It can cause hip dislocation. Babies who have hip dysplasia are usually born with it, but sometimes they develop it later.

Treatment for hip disorders may include rest, medicines, physical therapy, or surgery, including hip replacement.


[Learn More in MedlinePlus]

Spine Injuries and Disorders

Your backbone, or spine, is made up of 26 bone discs called vertebrae. The vertebrae protect your spinal cord and allow you to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. They include:

  • Infections
  • Injuries
  • Tumors
  • Conditions, such as ankylosing spondylitis and scoliosis
  • Bone changes that come with age, such as spinal stenosis and herniated disks

Spinal diseases often cause pain when bone changes put pressure on the spinal cord or nerves. They can also limit movement. Treatments differ by disease, but sometimes they include back braces and surgery.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.