S32.049G
S32.049G: Unspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing
Billable / specific codeICD-10-CMPOA exempt
S32.049G is a billable, specific ICD-10-CM code for unspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with delayed healing. It is valid for submission on a claim.
Check S32.049G with the rest of the claim: free scrubber7th character "G": subsequent encounter for fracture with delayed 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 S32.049G
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S32.049G
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S32.049G
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
S32.049G is named in 3 Medicare coverage policies: 3 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
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S32.049
- S32.049AUnspecified fracture of fourth lumbar vertebra, initial encounter for closed fracture
- S32.049BUnspecified fracture of fourth lumbar vertebra, initial encounter for open fracture
- S32.049DUnspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing
- S32.049KUnspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with nonunion
- S32.049SUnspecified fracture of fourth lumbar vertebra, sequela