Category: S32 - Fracture of lumbar spine and pelvis
Chapter Notes
Section Notes
Fracture of lumbar spine and pelvis
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
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 any associated spinal cord and spinal nerve injury (S34.-)
transection of abdomen (S38.3)
fracture of hip NOS (S72.0-)
The appropriate 7th character is to be added to each code from category S32
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
Fracture of lumbar vertebra
Fracture of lumbar spine NOS
Fracture of unspecified lumbar vertebra
Wedge compression fracture of unspecified lumbar vertebra
Stable burst fracture of unspecified lumbar vertebra
Unstable burst fracture of unspecified lumbar vertebra
Other fracture of unspecified lumbar vertebra
Unspecified fracture of unspecified lumbar vertebra
Fracture of first lumbar vertebra
Wedge compression fracture of first lumbar vertebra
Stable burst fracture of first lumbar vertebra
Unstable burst fracture of first lumbar vertebra
Other fracture of first lumbar vertebra
Unspecified fracture of first lumbar vertebra
Fracture of second lumbar vertebra
Wedge compression fracture of second lumbar vertebra
Stable burst fracture of second lumbar vertebra
Unstable burst fracture of second lumbar vertebra
Other fracture of second lumbar vertebra
Unspecified fracture of second lumbar vertebra
Fracture of third lumbar vertebra
Wedge compression fracture of third lumbar vertebra
Stable burst fracture of third lumbar vertebra
Unstable burst fracture of third lumbar vertebra
Other fracture of third lumbar vertebra
Unspecified fracture of third lumbar vertebra
Fracture of fourth lumbar vertebra
Wedge compression fracture of fourth lumbar vertebra
Stable burst fracture of fourth lumbar vertebra
Unstable burst fracture of fourth lumbar vertebra
Other fracture of fourth lumbar vertebra
Unspecified fracture of fourth lumbar vertebra
Fracture of fifth lumbar vertebra
Wedge compression fracture of fifth lumbar vertebra
Stable burst fracture of fifth lumbar vertebra
Unstable burst fracture of fifth lumbar vertebra
Other fracture of fifth lumbar vertebra
Unspecified fracture of fifth lumbar vertebra
Fracture of sacrum
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-)
Unspecified fracture of sacrum
Zone I fracture of sacrum
Vertical sacral ala fracture of sacrum
Nondisplaced Zone I fracture of sacrum
Minimally displaced Zone I fracture of sacrum
Severely displaced Zone I fracture of sacrum
Unspecified Zone I fracture of sacrum
Zone II fracture of sacrum
Vertical foraminal region fracture of sacrum
Nondisplaced Zone II fracture of sacrum
Minimally displaced Zone II fracture of sacrum
Severely displaced Zone II fracture of sacrum
Unspecified Zone II fracture of sacrum
Zone III fracture of sacrum
Vertical fracture into spinal canal region of sacrum
Nondisplaced Zone III fracture of sacrum
Minimally displaced Zone III fracture of sacrum
Severely displaced Zone III fracture of sacrum
Unspecified Zone III fracture of sacrum
Type 1 fracture of sacrum
Transverse flexion fracture of sacrum without displacement
Type 2 fracture of sacrum
Transverse flexion fracture of sacrum with posterior displacement
Type 3 fracture of sacrum
Transverse extension fracture of sacrum with anterior displacement
Type 4 fracture of sacrum
Transverse segmental comminution of upper sacrum
Other fracture of sacrum
Fracture of coccyx
Fracture of ilium
fracture of ilium with associated disruption of pelvic ring (S32.8-)
Unspecified fracture of ilium
Unspecified fracture of right ilium
Unspecified fracture of left ilium
Unspecified fracture of unspecified ilium
Avulsion fracture of ilium
Displaced avulsion fracture of right ilium
Displaced avulsion fracture of left ilium
Displaced avulsion fracture of unspecified ilium
Nondisplaced avulsion fracture of right ilium
Nondisplaced avulsion fracture of left ilium
Nondisplaced avulsion fracture of unspecified ilium
Other fracture of ilium
Other fracture of right ilium
Other fracture of left ilium
Other fracture of unspecified ilium
Fracture of acetabulum
Unspecified fracture of acetabulum
Unspecified fracture of right acetabulum
Unspecified fracture of left acetabulum
Unspecified fracture of unspecified acetabulum
Fracture of anterior wall of acetabulum
Displaced fracture of anterior wall of right acetabulum
Displaced fracture of anterior wall of left acetabulum
Displaced fracture of anterior wall of unspecified acetabulum
Nondisplaced fracture of anterior wall of right acetabulum
Nondisplaced fracture of anterior wall of left acetabulum
Nondisplaced fracture of anterior wall of unspecified acetabulum
Fracture of posterior wall of acetabulum
Displaced fracture of posterior wall of right acetabulum
Displaced fracture of posterior wall of left acetabulum
Displaced fracture of posterior wall of unspecified acetabulum
Nondisplaced fracture of posterior wall of right acetabulum
Nondisplaced fracture of posterior wall of left acetabulum
Nondisplaced fracture of posterior wall of unspecified acetabulum
Fracture of anterior column [iliopubic] of acetabulum
Displaced fracture of anterior column [iliopubic] of right acetabulum
Displaced fracture of anterior column [iliopubic] of left acetabulum
Displaced fracture of anterior column [iliopubic] of unspecified acetabulum
Nondisplaced fracture of anterior column [iliopubic] of right acetabulum
Nondisplaced fracture of anterior column [iliopubic] of left acetabulum
Nondisplaced fracture of anterior column [iliopubic] of unspecified acetabulum
Fracture of posterior column [ilioischial] of acetabulum
Displaced fracture of posterior column [ilioischial] of right acetabulum
Displaced fracture of posterior column [ilioischial] of left acetabulum
Displaced fracture of posterior column [ilioischial] of unspecified acetabulum
Nondisplaced fracture of posterior column [ilioischial] of right acetabulum
Nondisplaced fracture of posterior column [ilioischial] of left acetabulum
Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum
Transverse fracture of acetabulum
Displaced transverse fracture of right acetabulum
Displaced transverse fracture of left acetabulum
Displaced transverse fracture of unspecified acetabulum
Nondisplaced transverse fracture of right acetabulum
Nondisplaced transverse fracture of left acetabulum
Nondisplaced transverse fracture of unspecified acetabulum
Associated transverse-posterior fracture of acetabulum
Displaced associated transverse-posterior fracture of right acetabulum
Displaced associated transverse-posterior fracture of left acetabulum
Displaced associated transverse-posterior fracture of unspecified acetabulum
Nondisplaced associated transverse-posterior fracture of right acetabulum
Nondisplaced associated transverse-posterior fracture of left acetabulum
Nondisplaced associated transverse-posterior fracture of unspecified acetabulum
Fracture of medial wall of acetabulum
Displaced fracture of medial wall of right acetabulum
Displaced fracture of medial wall of left acetabulum
Displaced fracture of medial wall of unspecified acetabulum
Nondisplaced fracture of medial wall of right acetabulum
Nondisplaced fracture of medial wall of left acetabulum
Nondisplaced fracture of medial wall of unspecified acetabulum
Dome fracture of acetabulum
Displaced dome fracture of right acetabulum
Displaced dome fracture of left acetabulum
Displaced dome fracture of unspecified acetabulum
Nondisplaced dome fracture of right acetabulum
Nondisplaced dome fracture of left acetabulum
Nondisplaced dome fracture of unspecified acetabulum
Other specified fracture of acetabulum
Other specified fracture of right acetabulum
Other specified fracture of left acetabulum
Other specified fracture of unspecified acetabulum
Fracture of pubis
fracture of pubis with associated disruption of pelvic ring (S32.8-)
Unspecified fracture of pubis
Unspecified fracture of right pubis
Unspecified fracture of left pubis
Unspecified fracture of unspecified pubis
Fracture of superior rim of pubis
Fracture of superior rim of right pubis
Fracture of superior rim of left pubis
Fracture of superior rim of unspecified pubis
Other specified fracture of pubis
Other specified fracture of right pubis
Other specified fracture of left pubis
Other specified fracture of unspecified pubis
Fracture of ischium
fracture of ischium with associated disruption of pelvic ring (S32.8-)
Unspecified fracture of ischium
Unspecified fracture of right ischium
Unspecified fracture of left ischium
Unspecified fracture of unspecified ischium
Avulsion fracture of ischium
Displaced avulsion fracture of right ischium
Displaced avulsion fracture of left ischium
Displaced avulsion fracture of unspecified ischium
Nondisplaced avulsion fracture of right ischium
Nondisplaced avulsion fracture of left ischium
Nondisplaced avulsion fracture of unspecified ischium
Other specified fracture of ischium
Other specified fracture of right ischium
Other specified fracture of left ischium
Other specified fracture of unspecified ischium
Fracture of other parts of pelvis
Code also any associated:
fracture of acetabulum (S32.4-)
sacral fracture (S32.1-)
Multiple fractures of pelvis with disruption of pelvic ring
Multiple pelvic fractures with disruption of pelvic circle
Multiple fractures of pelvis with stable disruption of pelvic ring
Multiple fractures of pelvis with unstable disruption of pelvic ring
Multiple fractures of pelvis without disruption of pelvic ring
Multiple pelvic fractures without disruption of pelvic circle
Fracture of unspecified parts of lumbosacral spine and pelvis
Fracture of lumbosacral spine NOS
Fracture of pelvis NOS
