Is S32.499A a billable ICD-10-CM code?

Yes. S32.499A is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S32.499A 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).

S32.499A

S32.499A — Other specified fracture of unspecified acetabulum, initial encounter for closed fracture

Billable / specific codeICD-10-CM

S32.499A is a billable, specific ICD-10-CM code for other specified fracture of unspecified acetabulum, initial encounter for closed fracture. It is valid for submission on a claim.

7th character "A" — initial encounter for closed 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

Risk adjustment

S32.499A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 402 Hip Fracture/Dislocation0.467 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

S32.499A is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57765Billing and Coding: Major Joint Replacement (Hip and Knee)

Related codes at this level

Codes that share S32.499. If S32.499A is not quite right, the correct code is usually one of these.

Questions about S32.499A

Is S32.499A a billable ICD-10-CM code?: Yes. S32.499A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S32.499A 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).