S32.019K — Unspecified fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion
S32.019K is a billable, specific ICD-10-CM code for unspecified fracture of first lumbar vertebra, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.
7th character "K" — subsequent encounter for fracture with nonunion
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
Risk adjustment
S32.019K 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.
Medicare coverage
S32.019K is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
Related codes at this level
Codes that share S32.019. If S32.019K is not quite right, the correct code is usually one of these.
- S32.019AUnspecified fracture of first lumbar vertebra, initial encounter for closed fracture
- S32.019BUnspecified fracture of first lumbar vertebra, initial encounter for open fracture
- S32.019DUnspecified fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing
- S32.019GUnspecified fracture of first lumbar vertebra, subsequent encounter for fracture with delayed healing
- S32.019SUnspecified fracture of first lumbar vertebra, sequela
Questions about S32.019K
- Is S32.019K a billable ICD-10-CM code?
- Yes. S32.019K is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S32.019K 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).