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  6. 2025 ICD-10-CM Code S32.1

2025 ICD-10-CM Diagnosis Code S32.1

Fracture of sacrum

ICD-10-CM Code:
S32.1
ICD-10 Code for:
Fracture of sacrum
Is Billable?
Not Valid for Submission
Code Navigator:

S32.1 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 sacrum. The code is not specific and is NOT valid for the year 2025 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 sacrum

Non-specific codes like S32.1 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 sacrum:

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

  • Use S32.10XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.10XB for initial encounter for open fracture - BILLABLE CODE

  • Use S32.10XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.10XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.10XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.10XS for sequela - BILLABLE CODE

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

  • S32.110 for Nondisplaced Zone I fracture of sacrum - NON-BILLABLE CODE

  • Use S32.110A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.110B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.110D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.110G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.110K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.110S for sequela - BILLABLE CODE

  • S32.111 for Minimally displaced Zone I fracture of sacrum - NON-BILLABLE CODE

  • Use S32.111A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.111B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.111D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.111G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.111K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.111S for sequela - BILLABLE CODE

  • S32.112 for Severely displaced Zone I fracture of sacrum - NON-BILLABLE CODE

  • Use S32.112A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.112B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.112D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.112G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.112K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.112S for sequela - BILLABLE CODE

  • S32.119 for Unspecified Zone I fracture of sacrum - NON-BILLABLE CODE

  • Use S32.119A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.119B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.119D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.119G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.119K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.119S for sequela - BILLABLE CODE

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

  • S32.120 for Nondisplaced Zone II fracture of sacrum - NON-BILLABLE CODE

  • Use S32.120A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.120B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.120D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.120G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.120K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.120S for sequela - BILLABLE CODE

  • S32.121 for Minimally displaced Zone II fracture of sacrum - NON-BILLABLE CODE

  • Use S32.121A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.121B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.121D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.121G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.121K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.121S for sequela - BILLABLE CODE

  • S32.122 for Severely displaced Zone II fracture of sacrum - NON-BILLABLE CODE

  • Use S32.122A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.122B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.122D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.122G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.122K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.122S for sequela - BILLABLE CODE

  • S32.129 for Unspecified Zone II fracture of sacrum - NON-BILLABLE CODE

  • Use S32.129A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.129B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.129D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.129G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.129K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.129S for sequela - BILLABLE CODE

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

  • S32.130 for Nondisplaced Zone III fracture of sacrum - NON-BILLABLE CODE

  • Use S32.130A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.130B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.130D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.130G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.130K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.130S for sequela - BILLABLE CODE

  • S32.131 for Minimally displaced Zone III fracture of sacrum - NON-BILLABLE CODE

  • Use S32.131A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.131B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.131D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.131G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.131K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.131S for sequela - BILLABLE CODE

  • S32.132 for Severely displaced Zone III fracture of sacrum - NON-BILLABLE CODE

  • Use S32.132A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.132B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.132D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.132G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.132K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.132S for sequela - BILLABLE CODE

  • S32.139 for Unspecified Zone III fracture of sacrum - NON-BILLABLE CODE

  • Use S32.139A for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.139B for initial encounter for open fracture - BILLABLE CODE

  • Use S32.139D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.139G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.139K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.139S for sequela - BILLABLE CODE

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

  • Use S32.14XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.14XB for initial encounter for open fracture - BILLABLE CODE

  • Use S32.14XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.14XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.14XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.14XS for sequela - BILLABLE CODE

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

  • Use S32.15XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.15XB for initial encounter for open fracture - BILLABLE CODE

  • Use S32.15XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.15XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.15XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.15XS for sequela - BILLABLE CODE

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

  • Use S32.16XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.16XB for initial encounter for open fracture - BILLABLE CODE

  • Use S32.16XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.16XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.16XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.16XS for sequela - BILLABLE CODE

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

  • Use S32.17XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.17XB for initial encounter for open fracture - BILLABLE CODE

  • Use S32.17XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.17XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.17XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.17XS for sequela - BILLABLE CODE

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

  • Use S32.19XA for initial encounter for closed fracture - BILLABLE CODE

  • Use S32.19XB for initial encounter for open fracture - BILLABLE CODE

  • Use S32.19XD for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S32.19XG for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S32.19XK for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S32.19XS for sequela - BILLABLE CODE

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

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.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • For vertical fractures, code to most medial fracture extension
  • Use two codes if both a vertical and transverse fracture are present

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 fracture of pelvic ring S32.8

Patient Education


Fractures

What is a fracture?

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

What are the different types of fractures?

There are different ways to describe fractures. For example, there are different types of fractures based on:

  • Whether the bone is partially or completely broken.
  • Whether the bone breaks through the skin; if it does, it's called an open (or compound) fracture. If not, it's a closed fracture.
  • The direction or shape of the break, for example if it's in a line across the bone or if it has some kind of pattern.
  • The cause of the break. For example, a stress fracture is a small break in a bone that is often caused by overuse.
  • Which bone is broken, for example facial fractures include nose and jaw fractures.

What causes fractures?

Fractures commonly happen because of car accidents, falls, or sports injuries. Overuse and repetitive motions can also cause fractures.

Low bone density and osteoporosis are conditions which cause weakening of your bones. Having one of these conditions makes you much more likely to break a bone.

What are the symptoms of a fracture?

The symptoms of a fracture can vary, depending on which bone you broke. But they may include:

  • Intense pain
  • Deformity, for example a limb that looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Trouble moving the injured part

If you think that you may have broken a bone, get medical care right away.

How are fractures diagnosed?

To find out if you have a fracture, your health provider will do a physical exam and ask about your injury. They will also likely order an x-ray or other imaging test to see if your bone is broken.

What are the treatments for fractures?

The most common treatment for a fracture is for you to wear a cast or a splint. This will keep your bone from moving while it heals. How long you need to wear it will depend on the type of fracture and which bone is affected. But it's often for several weeks. Your provider will let you when you can get it off.

In some cases, you may need surgery to put in plates, pins, or screws to keep the bone in place.

Can fractures be prevented?

There are steps you can take to lower your risk of fractures:

  • Keeping your bones strong by:
    • Getting enough calcium and vitamin D in your diet
    • Getting regular physical activity, including weight bearing exercises such as walking, tennis, and dancing
    • Getting treatment for low bone density or osteoporosis (if needed)
  • Wearing protective equipment when you do sports
  • Preventing falls by:
    • Getting rid of any tripping hazards in your home
    • Being careful when walking on wet or icy surfaces
    • Choosing the right footwear

[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.