DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

S32 Fracture of lumbar spine and pelvis

  • Header · not billable
  • Codes take a 7th character

S32 is not billable. The category heads 846 billable codes in FY2027, grouped under 9 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

  • Disruption (of)pelvic ring (stable) → S32.810
  • Fracture, traumatic (abduction) (adduction) (separation)ilium → S32.30-
  • Fracture, traumatic (abduction) (adduction) (separation)pubis → S32.50-

Where it sits

  1. Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
  2. S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
  3. S32 Fracture of lumbar spine and pelvis
Billable codes
846
Subdivisions
9
CC / MCC codes
228 / 195
HCC V28 codes
282
New FY2027
0
Index entries
105

Codes in S32

  1. S32.0
    Fracture of lumbar vertebra
    Header
    Inclusion terms 1

    Inclusion terms

    • Fracture of lumbar spine NOS
  2. S32.00
    Fracture of unspecified lumbar vertebra
    Header
  3. S32.000
    Wedge compression fracture of unspecified lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  4. S32.001
    Stable burst fracture of unspecified lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  5. S32.002
    Unstable burst fracture of unspecified lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  6. S32.008
    Other fracture of unspecified lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  7. S32.009
    Unspecified fracture of unspecified lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  8. S32.01
    Fracture of first lumbar vertebra
    Header
  9. S32.010
    Wedge compression fracture of first lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  10. S32.011
    Stable burst fracture of first lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  11. S32.012
    Unstable burst fracture of first lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  12. S32.018
    Other fracture of first lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  13. S32.019
    Unspecified fracture of first lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  14. S32.02
    Fracture of second lumbar vertebra
    Header
  15. S32.020
    Wedge compression fracture of second lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  16. S32.021
    Stable burst fracture of second lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  17. S32.022
    Unstable burst fracture of second lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  18. S32.028
    Other fracture of second lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  19. S32.029
    Unspecified fracture of second lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  20. S32.03
    Fracture of third lumbar vertebra
    Header
  21. S32.030
    Wedge compression fracture of third lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  22. S32.031
    Stable burst fracture of third lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  23. S32.032
    Unstable burst fracture of third lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  24. S32.038
    Other fracture of third lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  25. S32.039
    Unspecified fracture of third lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  26. S32.04
    Fracture of fourth lumbar vertebra
    Header
  27. S32.040
    Wedge compression fracture of fourth lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  28. S32.041
    Stable burst fracture of fourth lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  29. S32.042
    Unstable burst fracture of fourth lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  30. S32.048
    Other fracture of fourth lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  31. S32.049
    Unspecified fracture of fourth lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  32. S32.05
    Fracture of fifth lumbar vertebra
    Header
  33. S32.050
    Wedge compression fracture of fifth lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  34. S32.051
    Stable burst fracture of fifth lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  35. S32.052
    Unstable burst fracture of fifth lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  36. S32.058
    Other fracture of fifth lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  37. S32.059
    Unspecified fracture of fifth lumbar vertebra +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  38. S32.1
    Fracture of sacrum
    Header
    Inclusion terms 2, Code also 1

    Inclusion terms

    • For vertical fractures, code to most medial fracture extension
    • Use two codes if both a vertical and transverse fracture are present

    Code also

    • any associated fracture of pelvic ring (S32.8-) S32.8
  39. S32.10
    Unspecified fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  40. S32.11
    Zone I fracture of sacrum
    Header
    Inclusion terms 1

    Inclusion terms

    • Vertical sacral ala fracture of sacrum
  41. S32.110
    Nondisplaced Zone I fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  42. S32.111
    Minimally displaced Zone I fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  43. S32.112
    Severely displaced Zone I fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  44. S32.119
    Unspecified Zone I fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  45. S32.12
    Zone II fracture of sacrum
    Header
    Inclusion terms 1

    Inclusion terms

    • Vertical foraminal region fracture of sacrum
  46. S32.120
    Nondisplaced Zone II fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  47. S32.121
    Minimally displaced Zone II fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  48. S32.122
    Severely displaced Zone II fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  49. S32.129
    Unspecified Zone II fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  50. S32.13
    Zone III fracture of sacrum
    Header
    Inclusion terms 1

    Inclusion terms

    • Vertical fracture into spinal canal region of sacrum
  51. S32.130
    Nondisplaced Zone III fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  52. S32.131
    Minimally displaced Zone III fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  53. S32.132
    Severely displaced Zone III fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  54. S32.139
    Unspecified Zone III fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  55. S32.14
    Type 1 fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
    Inclusion terms 1

    Inclusion terms

    • Transverse flexion fracture of sacrum without displacement
  56. S32.15
    Type 2 fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
    Inclusion terms 1

    Inclusion terms

    • Transverse flexion fracture of sacrum with posterior displacement
  57. S32.16
    Type 3 fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
    Inclusion terms 1

    Inclusion terms

    • Transverse extension fracture of sacrum with anterior displacement
  58. S32.17
    Type 4 fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
    Inclusion terms 1

    Inclusion terms

    • Transverse segmental comminution of upper sacrum
  59. S32.19
    Other fracture of sacrum +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  60. S32.2
    Fracture of coccyx +7th: A B D G K S
    Needs 7th characterCC A K MCC B401 (some 7th characters)Exempt: 4 of 6 7th characters
  61. S32.3
    Fracture of ilium
    Header
    Excludes1 1

    Excludes1

    • fracture of ilium with associated disruption of pelvic ring (S32.8-) S32.8
  62. S32.30
    Unspecified fracture of ilium
    Header
  63. S32.301
    Unspecified fracture of right ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  64. S32.302
    Unspecified fracture of left ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  65. S32.309
    Unspecified fracture of unspecified ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  66. S32.31
    Avulsion fracture of ilium
    Header
  67. S32.311
    Displaced avulsion fracture of right ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  68. S32.312
    Displaced avulsion fracture of left ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  69. S32.313
    Displaced avulsion fracture of unspecified ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  70. S32.314
    Nondisplaced avulsion fracture of right ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  71. S32.315
    Nondisplaced avulsion fracture of left ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  72. S32.316
    Nondisplaced avulsion fracture of unspecified ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  73. S32.39
    Other fracture of ilium
    Header
  74. S32.391
    Other fracture of right ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  75. S32.392
    Other fracture of left ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  76. S32.399
    Other fracture of unspecified ilium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  77. S32.4
    Fracture of acetabulum
    Header
    Code also 1

    Code also

    • any associated fracture of pelvic ring (S32.8-) S32.8
  78. S32.40
    Unspecified fracture of acetabulum
    Header
  79. S32.401
    Unspecified fracture of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  80. S32.402
    Unspecified fracture of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  81. S32.409
    Unspecified fracture of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  82. S32.41
    Fracture of anterior wall of acetabulum
    Header
  83. S32.411
    Displaced fracture of anterior wall of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  84. S32.412
    Displaced fracture of anterior wall of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  85. S32.413
    Displaced fracture of anterior wall of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  86. S32.414
    Nondisplaced fracture of anterior wall of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  87. S32.415
    Nondisplaced fracture of anterior wall of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  88. S32.416
    Nondisplaced fracture of anterior wall of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  89. S32.42
    Fracture of posterior wall of acetabulum
    Header
  90. S32.421
    Displaced fracture of posterior wall of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  91. S32.422
    Displaced fracture of posterior wall of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  92. S32.423
    Displaced fracture of posterior wall of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  93. S32.424
    Nondisplaced fracture of posterior wall of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  94. S32.425
    Nondisplaced fracture of posterior wall of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  95. S32.426
    Nondisplaced fracture of posterior wall of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  96. S32.43
    Fracture of anterior column [iliopubic] of acetabulum
    Header
  97. S32.431
    Displaced fracture of anterior column [iliopubic] of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  98. S32.432
    Displaced fracture of anterior column [iliopubic] of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  99. S32.433
    Displaced fracture of anterior column [iliopubic] of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  100. S32.434
    Nondisplaced fracture of anterior column [iliopubic] of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  101. S32.435
    Nondisplaced fracture of anterior column [iliopubic] of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  102. S32.436
    Nondisplaced fracture of anterior column [iliopubic] of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  103. S32.44
    Fracture of posterior column [ilioischial] of acetabulum
    Header
  104. S32.441
    Displaced fracture of posterior column [ilioischial] of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  105. S32.442
    Displaced fracture of posterior column [ilioischial] of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  106. S32.443
    Displaced fracture of posterior column [ilioischial] of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  107. S32.444
    Nondisplaced fracture of posterior column [ilioischial] of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  108. S32.445
    Nondisplaced fracture of posterior column [ilioischial] of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  109. S32.446
    Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  110. S32.45
    Transverse fracture of acetabulum
    Header
  111. S32.451
    Displaced transverse fracture of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  112. S32.452
    Displaced transverse fracture of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  113. S32.453
    Displaced transverse fracture of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  114. S32.454
    Nondisplaced transverse fracture of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  115. S32.455
    Nondisplaced transverse fracture of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  116. S32.456
    Nondisplaced transverse fracture of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  117. S32.46
    Associated transverse-posterior fracture of acetabulum
    Header
  118. S32.461
    Displaced associated transverse-posterior fracture of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  119. S32.462
    Displaced associated transverse-posterior fracture of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  120. S32.463
    Displaced associated transverse-posterior fracture of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  121. S32.464
    Nondisplaced associated transverse-posterior fracture of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  122. S32.465
    Nondisplaced associated transverse-posterior fracture of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  123. S32.466
    Nondisplaced associated transverse-posterior fracture of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  124. S32.47
    Fracture of medial wall of acetabulum
    Header
  125. S32.471
    Displaced fracture of medial wall of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  126. S32.472
    Displaced fracture of medial wall of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  127. S32.473
    Displaced fracture of medial wall of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  128. S32.474
    Nondisplaced fracture of medial wall of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  129. S32.475
    Nondisplaced fracture of medial wall of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  130. S32.476
    Nondisplaced fracture of medial wall of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  131. S32.48
    Dome fracture of acetabulum
    Header
  132. S32.481
    Displaced dome fracture of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  133. S32.482
    Displaced dome fracture of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  134. S32.483
    Displaced dome fracture of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  135. S32.484
    Nondisplaced dome fracture of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  136. S32.485
    Nondisplaced dome fracture of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  137. S32.486
    Nondisplaced dome fracture of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  138. S32.49
    Other specified fracture of acetabulum
    Header
  139. S32.491
    Other specified fracture of right acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  140. S32.492
    Other specified fracture of left acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  141. S32.499
    Other specified fracture of unspecified acetabulum +7th: A B D G K S
    Needs 7th characterCC K MCC A B402 (some 7th characters)Exempt: 4 of 6 7th characters
  142. S32.5
    Fracture of pubis
    Header
    Excludes1 1

    Excludes1

    • fracture of pubis with associated disruption of pelvic ring (S32.8-) S32.8
  143. S32.50
    Unspecified fracture of pubis
    Header
  144. S32.501
    Unspecified fracture of right pubis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  145. S32.502
    Unspecified fracture of left pubis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  146. S32.509
    Unspecified fracture of unspecified pubis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  147. S32.51
    Fracture of superior rim of pubis
    Header
  148. S32.511
    Fracture of superior rim of right pubis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  149. S32.512
    Fracture of superior rim of left pubis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  150. S32.519
    Fracture of superior rim of unspecified pubis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  151. S32.59
    Other specified fracture of pubis
    Header
  152. S32.591
    Other specified fracture of right pubis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  153. S32.592
    Other specified fracture of left pubis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  154. S32.599
    Other specified fracture of unspecified pubis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  155. S32.6
    Fracture of ischium
    Header
    Excludes1 1

    Excludes1

    • fracture of ischium with associated disruption of pelvic ring (S32.8-) S32.8
  156. S32.60
    Unspecified fracture of ischium
    Header
  157. S32.601
    Unspecified fracture of right ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  158. S32.602
    Unspecified fracture of left ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  159. S32.609
    Unspecified fracture of unspecified ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  160. S32.61
    Avulsion fracture of ischium
    Header
  161. S32.611
    Displaced avulsion fracture of right ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  162. S32.612
    Displaced avulsion fracture of left ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  163. S32.613
    Displaced avulsion fracture of unspecified ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  164. S32.614
    Nondisplaced avulsion fracture of right ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  165. S32.615
    Nondisplaced avulsion fracture of left ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  166. S32.616
    Nondisplaced avulsion fracture of unspecified ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  167. S32.69
    Other specified fracture of ischium
    Header
  168. S32.691
    Other specified fracture of right ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  169. S32.692
    Other specified fracture of left ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  170. S32.699
    Other specified fracture of unspecified ischium +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  171. S32.8
    Fracture of other parts of pelvis
    Header
    Code also 3

    Code also

    • any associated:
    • fracture of acetabulum (S32.4-) S32.4
    • sacral fracture (S32.1-) S32.1
  172. S32.81
    Multiple fractures of pelvis with disruption of pelvic ring
    Header
    Inclusion terms 1

    Inclusion terms

    • Multiple pelvic fractures with disruption of pelvic circle
  173. S32.810
    Multiple fractures of pelvis with stable disruption of pelvic ring +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  174. S32.811
    Multiple fractures of pelvis with unstable disruption of pelvic ring +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  175. S32.82
    Multiple fractures of pelvis without disruption of pelvic ring +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
    Inclusion terms 1

    Inclusion terms

    • Multiple pelvic fractures without disruption of pelvic circle
  176. S32.89
    Fracture of other parts of pelvis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
  177. S32.9
    Fracture of unspecified parts of lumbosacral spine and pelvis +7th: A B D G K S
    Needs 7th characterCC A K MCC B402 (some 7th characters)Exempt: 4 of 6 7th characters
    Inclusion terms 2

    Inclusion terms

    • Fracture of lumbosacral spine NOS
    • Fracture of pelvis NOS

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At S32

Notes

  • 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

Includes

  • fracture of lumbosacral neural arch
  • fracture of lumbosacral spinous process
  • fracture of lumbosacral transverse process
  • fracture of lumbosacral vertebra
  • fracture of lumbosacral vertebral arch

Excludes1

  • transection of abdomen (S38.3) S38.3

Excludes2

  • fracture of hip NOS (S72.0-) S72.0

Code first

  • any associated spinal cord and spinal nerve injury (S34.-) S34

Notes that also apply

Block S30-S39 instructions (Includes 6, Excludes2 6): printed on the block page.

Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.

7th characters

7th characters for S32 defined here

The appropriate 7th character is to be added to each code from category S32

7th characters for S32
7thMeaning (NCHS)
Ainitial encounter for closed fracture
Binitial encounter for open fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Fracture, traumatic (abduction) (adduction) (separation)sacrum → S32.10
  • Fracture, traumatic (abduction) (adduction) (separation)coccyx → S32.2
  • Fracture, traumatic (abduction) (adduction) (separation)ilium → S32.30-
  • Fracture, traumatic (abduction) (adduction) (separation)acetabulum → S32.40-
  • Fracture, traumatic (abduction) (adduction) (separation)pubis → S32.50-
  • Fracture, traumatic (abduction) (adduction) (separation)ischium → S32.60-
  • Disruption (of)pelvic ring (stable) → S32.810
  • Fracture, traumatic (abduction) (adduction) (separation)lumbosacral spine → S32.9
  • Fracture, traumatic (abduction) (adduction) (separation)pelvis, pelvic (bone) → S32.9
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)lumbar → S32.009
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)sacrum → S32.10
  • Fracture, traumatic (abduction) (adduction) (separation)sacrumspecified NEC → S32.19
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)coccyx → S32.2
  • Fracture, traumatic (abduction) (adduction) (separation)iliumavulsion (displaced) → S32.31-
  • Fracture, traumatic (abduction) (adduction) (separation)iliumspecified NEC → S32.39-
  • Fracture, traumatic (abduction) (adduction) (separation)acetabulumtransverse (displaced) → S32.45-
  • Fracture, traumatic (abduction) (adduction) (separation)acetabulumdome (displaced) → S32.48-
  • Fracture, traumatic (abduction) (adduction) (separation)acetabulumspecified NEC → S32.49-
  • Fracture, traumatic (abduction) (adduction) (separation)pubissuperior rim → S32.51-
  • Fracture, traumatic (abduction) (adduction) (separation)pubisspecified site NEC → S32.59-
  • Fracture, traumatic (abduction) (adduction) (separation)ischiumavulsion (displaced) → S32.61-
  • Fracture, traumatic (abduction) (adduction) (separation)ischiumspecified NEC → S32.69-
  • Disruption (of)pelvic ring (stable)unstable → S32.811
  • Fracture, traumatic (abduction) (adduction) (separation)pelvis, pelvic (bone)specified site NEC → S32.89
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)lumbarwedge compression → S32.000
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)lumbarburst (stable) → S32.001
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)lumbarspecified type NEC → S32.008
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)lumbarfirst → S32.019
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)lumbarsecond → S32.029
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)lumbarthird → S32.039
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)lumbarfourth → S32.049
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)lumbarfifth → S32.059
  • Fracture, traumatic (abduction) (adduction) (separation)sacrumZoneI → S32.119
  • Fracture, traumatic (abduction) (adduction) (separation)sacrumZoneII → S32.129
  • Fracture, traumatic (abduction) (adduction) (separation)sacrumZoneIII → S32.139
  • Fracture, traumatic (abduction) (adduction) (separation)sacrumType1 → S32.14
  • Fracture, traumatic (abduction) (adduction) (separation)sacrumType2 → S32.15
  • Fracture, traumatic (abduction) (adduction) (separation)sacrumType3 → S32.16
  • Fracture, traumatic (abduction) (adduction) (separation)sacrumType4 → S32.17
  • Fracture, traumatic (abduction) (adduction) (separation)vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process)sacrumspecified NEC → S32.19

65 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy