S32.464D — Nondisplaced associated transverse-posterior fracture of right acetabulum, subsequent encounter for fracture with routine healing
S32.464D is a billable, specific ICD-10-CM code for nondisplaced associated transverse-posterior fracture of right acetabulum, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
7th character "D" — subsequent encounter for fracture with routine 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
Risk adjustment
S32.464D 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
S32.464D 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.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Related codes at this level
Codes that share S32.464. If S32.464D is not quite right, the correct code is usually one of these.
- S32.464ANondisplaced associated transverse-posterior fracture of right acetabulum, initial encounter for closed fracture
- S32.464BNondisplaced associated transverse-posterior fracture of right acetabulum, initial encounter for open fracture
- S32.464GNondisplaced associated transverse-posterior fracture of right acetabulum, subsequent encounter for fracture with delayed healing
- S32.464KNondisplaced associated transverse-posterior fracture of right acetabulum, subsequent encounter for fracture with nonunion
- S32.464SNondisplaced associated transverse-posterior fracture of right acetabulum, sequela
Questions about S32.464D
- Is S32.464D a billable ICD-10-CM code?
- Yes. S32.464D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S32.464D 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).