S32.028B — Other fracture of second lumbar vertebra, initial encounter for open fracture
S32.028B is a billable, specific ICD-10-CM code for other fracture of second lumbar vertebra, initial encounter for open fracture. It is valid for submission on a claim.
7th character "B" — initial encounter for open fracture
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
S32.028B risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 401 Vertebral Fractures without Spinal Cord Injury0.522 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
S32.028B is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56396Billing and Coding: Lumbar Spinal Fusion
- A56900Billing and Coding: Immunizations
- A57132Billing and Coding: Bone Mass Measurement
- A57132Billing and Coding: Bone Mass Measurement
Related codes at this level
Codes that share S32.028. If S32.028B is not quite right, the correct code is usually one of these.
- S32.028AOther fracture of second lumbar vertebra, initial encounter for closed fracture
- S32.028DOther fracture of second lumbar vertebra, subsequent encounter for fracture with routine healing
- S32.028GOther fracture of second lumbar vertebra, subsequent encounter for fracture with delayed healing
- S32.028KOther fracture of second lumbar vertebra, subsequent encounter for fracture with nonunion
- S32.028SOther fracture of second lumbar vertebra, sequela
Questions about S32.028B
- Is S32.028B a billable ICD-10-CM code?
- Yes. S32.028B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S32.028B 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).