S32.019D
S32.019D: Unspecified fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing
Billable / specific codeICD-10-CMPOA exempt
S32.019D is a billable, specific ICD-10-CM code for unspecified fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
Check S32.019D 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 S32.019D
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S32.019D
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S32.019D
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
S32.019D is named in 4 Medicare coverage policies: 4 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
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S32.019
- S32.019AUnspecified fracture of first lumbar vertebra, initial encounter for closed fracture
- S32.019BUnspecified fracture of first lumbar vertebra, initial encounter for open fracture
- S32.019GUnspecified fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing
- S32.019KUnspecified fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion
- S32.019SUnspecified fracture of first lumbar vertebra, sequela