S32Non-billableSave
S32 - Fracture of lumbar spine and pelvis
ICD-10-CM Chapter 19: Injury, poisoning and certain other consequences of external causes · S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39) · Top-level category · FY2027
Coding Guidance
S32 is a non-billable heading. Report one of the 9 more specific codes below.
7th Character
The appropriate 7th character is to be added to each code from category S32
- 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
Includes, Excludes and Coding Notes
IncludesFrom S32
Conditions this code covers.
- fracture of lumbosacral neural arch
- fracture of lumbosacral spinous process
- fracture of lumbosacral transverse process
- fracture of lumbosacral vertebra
- fracture of lumbosacral vertebral arch
Excludes 1 — Not Coded HereFrom S32
Mutually exclusive: these conditions are never reported together with this code.
- transection of abdomen (S38.3)
Excludes 2 — Not Included HereFrom S32
Not part of this code; report both codes when the patient has both conditions.
- fracture of hip NOS (S72.0-)
Code FirstFrom S32
Sequence the underlying condition before this code.
- any associated spinal cord and spinal nerve injury (S34.-)
NotesFrom S32
Instructional notes from the ICD-10-CM tabular list.
- 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
IncludesFrom S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
Conditions this code covers.
- injuries to the abdominal wall
- injuries to the anus
- injuries to the buttock
- injuries to the external genitalia
- injuries to the flank
- injuries to the groin
Excludes 2 — Not Included HereFrom S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
Not part of this code; report both codes when the patient has both conditions.
- burns and corrosions (T20-T32)
- effects of foreign body in anus and rectum (T18.5)
- effects of foreign body in genitourinary tract (T19.-)
- effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Excludes 2 — Not Included HereFrom Chapter S00-T88
Not part of this code; report both codes when the patient has both conditions.
- birth trauma (P10-P15)
- obstetric trauma (O70-O71)
Use Additional CodeFrom Chapter S00-T88
Add a secondary code to identify the associated condition or cause when it is documented.
- code to identify any retained foreign body, if applicable (Z18.-)
NotesFrom Chapter S00-T88
Instructional notes from the ICD-10-CM tabular list.
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
More Specific Codes (9)
S32.0Fracture of lumbar vertebraCategory→S32.1Fracture of sacrumCategory→S32.2Fracture of coccyxCategory→S32.3Fracture of iliumCategory→S32.4Fracture of acetabulumCategory→S32.5Fracture of pubisCategory→S32.6Fracture of ischiumCategory→S32.8Fracture of other parts of pelvisCategory→S32.9Fracture of unspecified parts of lumbosacral spine and pelvisCategory→
Related condition guides
Documentation requirements, coding pitfalls and FAQs for conditions coded with S32.
Chapter Information
Chapter 19: Injury, poisoning and certain other consequences of external causes
Range: S00-T88
View full chapterRelated ICD-10 Codes
More specific codes for S32
Other categories in this chapter
Codes at the same level as S32
- Superficial injury of headS00
- Open wound of headS01
- Fracture of skull and facial bonesS02
- Dislocation and sprain of joints and ligaments of headS03
- Injury of cranial nerveS04
- Injury of eye and orbitS05
- Intracranial injuryS06
- Crushing injury of headS07
- Avulsion and traumatic amputation of part of headS08
- Other and unspecified injuries of headS09
- Superficial injury of neckS10
- Open wound of neckS11
- Fracture of cervical vertebra and other parts of neckS12
- Dislocation and sprain of joints and ligaments at neck levelS13
- Injury of nerves and spinal cord at neck levelS14
- Injury of blood vessels at neck levelS15
- Injury of muscle, fascia and tendon at neck levelS16
- Crushing injury of neckS17
- Other specified and unspecified injuries of neckS19
- Superficial injury of thoraxS20
- Open wound of thoraxS21
- Fracture of rib(s), sternum and thoracic spineS22
- Dislocation and sprain of joints and ligaments of thoraxS23
- Injury of nerves and spinal cord at thorax levelS24
- Injury of blood vessels of thoraxS25
- Injury of heartS26
- Injury of other and unspecified intrathoracic organsS27
- Crushing injury of thorax, and traumatic amputation of part of thoraxS28
- Other and unspecified injuries of thoraxS29
- Superficial injury of abdomen, lower back, pelvis and external genitalsS30
- Open wound of abdomen, lower back, pelvis and external genitalsS31
- Dislocation and sprain of joints and ligaments of lumbar spine and pelvisS33
- Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis levelS34
- Injury of blood vessels at abdomen, lower back and pelvis levelS35
- Injury of intra-abdominal organsS36
- Injury of urinary and pelvic organsS37
- Crushing injury and traumatic amputation of abdomen, lower back, pelvis and external genitalsS38
- Other and unspecified injuries of abdomen, lower back, pelvis and external genitalsS39
- Superficial injury of shoulder and upper armS40
- Open wound of shoulder and upper armS41
130 more in this chapter.