Is S32 a billable ICD-10-CM code?

No. S32 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S32 sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).

What cannot be coded together with S32?

S32 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

S32

S32 — Fracture of lumbar spine and pelvis

Non-billable headerICD-10-CM

S32 is a non-billable header ICD-10-CM code for fracture of lumbar spine and pelvis. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

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

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

transection of abdomen (S38.3)

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

fracture of hip NOS (S72.0-)

Code first

The underlying condition must be sequenced before this code.

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

Includes

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

Notes

Additional guidance 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

Other codes that can never be billed with S32

These codes carry an Excludes1 note pointing at S32. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S32 alone.

M48.4Fatigue fracture of vertebra
M48.5Collapsed vertebra, not elsewhere classified
M84.3Stress fracture
M84.4Pathological fracture, not elsewhere classified
S32.3Fracture of ilium
S32.5Fracture of pubis
S32.6Fracture of ischium

Risk adjustment

S32 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead S32

9 child codes. Green means billable.

Questions about S32

Is S32 a billable ICD-10-CM code?: No. S32 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S32 sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).
What cannot be coded together with S32?: S32 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.