Is S32.17XB a billable ICD-10-CM code?

Yes. S32.17XB is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S32.17XB 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).

What cannot be coded together with S32.17XB?

S32.17XB carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S32.17XB (S32) and apply to it just the same.

S32.17XB

S32.17XB — Type 4 fracture of sacrum, initial encounter for open fracture

Billable / specific codeICD-10-CM

S32.17XB is a billable, specific ICD-10-CM code for type 4 fracture of sacrum, 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

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Transverse segmental comminution of upper sacrum

Excludes1 inherited from the categories above S32.17XB

These are not written on S32.17XB, but they bind it: a note on a category applies to every code beneath it. Billing S32.17XB with anything listed here is a denial.

Written on S32 — Fracture of lumbar spine and pelvis

transection of abdomen (S38.3)

Excludes2 inherited from the categories above S32.17XB

Also inherited, and the opposite of Excludes1: these conditions are not part of S32.17XB, but a patient can have both, so you may code both.

Written on S32 — Fracture of lumbar spine and pelvis

fracture of hip NOS (S72.0-)

Other codes that can never be billed with S32.17XB

These codes carry an Excludes1 note pointing at S32.17XB. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S32.17XB alone.

M48.5Collapsed vertebra, not elsewhere classified
M84.3Stress fracture
M84.4Pathological fracture, not elsewhere classified

Risk adjustment

S32.17XB 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

S32.17XB is named in 11 Medicare coverage policies — 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56900Billing and Coding: Immunizations
A57132Billing and Coding: Bone Mass Measurement
A57132Billing and Coding: Bone Mass Measurement

Code history

S32.17XB has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S32.17. If S32.17XB is not quite right, the correct code is usually one of these.

Questions about S32.17XB

Is S32.17XB a billable ICD-10-CM code?: Yes. S32.17XB is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S32.17XB 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).
What cannot be coded together with S32.17XB?: S32.17XB carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S32.17XB (S32) and apply to it just the same.