Is S32.316K a billable ICD-10-CM code?

Yes. S32.316K is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S32.316K 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 S32.316K?

S32.316K 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 S32.316K (S32.3, S32) and apply to it just the same.

S32.316K

S32.316K — Nondisplaced avulsion fracture of unspecified ilium, subsequent encounter for fracture with nonunion

Billable / specific codeICD-10-CMPOA exempt

S32.316K is a billable, specific ICD-10-CM code for nondisplaced avulsion fracture of unspecified ilium, 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

Excludes1 inherited from the categories above S32.316K

These are not written on S32.316K, but they bind it: a note on a category applies to every code beneath it. Billing S32.316K with anything listed here is a denial.

Written on S32.3 — Fracture of ilium

fracture of ilium with associated disruption of pelvic ring (S32.8-)

Written on S32 — Fracture of lumbar spine and pelvis

transection of abdomen (S38.3)

Excludes2 inherited from the categories above S32.316K

Also inherited, and the opposite of Excludes1: these conditions are not part of S32.316K, 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 S32.316K

These codes carry an Excludes1 note pointing at S32.316K. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S32.316K alone.

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

Risk adjustment

S32.316K 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

S32.316K is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53065Billing and Coding: Outpatient Physical Therapy
A57765Billing and Coding: Major Joint Replacement (Hip and Knee)

Code history

S32.316K 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 S32.316. If S32.316K is not quite right, the correct code is usually one of these.

Questions about S32.316K

Is S32.316K a billable ICD-10-CM code?: Yes. S32.316K is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S32.316K 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 S32.316K?: S32.316K 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 S32.316K (S32.3, S32) and apply to it just the same.