S32.399K
S32.399K: Other fracture of unspecified ilium, subsequent encounter for fracture with nonunion
Billable / specific codeICD-10-CMPOA exempt
S32.399K is a billable, specific ICD-10-CM code for other fracture of unspecified ilium, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.
Check S32.399K with the rest of the claim: free scrubber7th 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 S32.399K
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S32.399K
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S32.399K
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
S32.399K is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53065Billing and Coding: Outpatient Physical Therapy
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S32.399
- S32.399AOther fracture of unspecified ilium, initial encounter for closed fracture
- S32.399BOther fracture of unspecified ilium, initial encounter for open fracture
- S32.399DOther fracture of unspecified ilium, subsequent encounter for fracture with routine healing
- S32.399GOther fracture of unspecified ilium, subsequent encounter for fracture with delayed healing
- S32.399SOther fracture of unspecified ilium, sequela