S32.010D
S32.010D: Wedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing
Billable / specific codeICD-10-CMPOA exempt
S32.010D is a billable, specific ICD-10-CM code for wedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
Check S32.010D with the rest of the claim: free scrubber7th character "D": subsequent encounter for fracture with routine healing
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 inherited from the categories above S32.010D
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S32.010D
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S32.010D
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S32.010D is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56396Billing and Coding: Lumbar Spinal Fusion
- A57206Billing and Coding: Lumbar MRI
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S32.010
- S32.010AWedge compression fracture of first lumbar vertebra, initial encounter for closed fracture
- S32.010BWedge compression fracture of first lumbar vertebra, initial encounter for open fracture
- S32.010GWedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing
- S32.010KWedge compression fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion
- S32.010SWedge compression fracture of first lumbar vertebra, sequela