Is S32.69 a billable ICD-10-CM code?

No. S32.69 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S32.69 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 S32.69?

S32.69 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 S32.69 (S32.6, S32) and apply to it just the same.

S32.69

S32.69 — Other specified fracture of ischium

Non-billable headerICD-10-CM

S32.69 is a non-billable header ICD-10-CM code for other specified fracture of ischium. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

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 S32.69

These are not written on S32.69, but they bind it: a note on a category applies to every code beneath it. Billing S32.69 with anything listed here is a denial.

Written on S32.6 — Fracture of ischium

fracture of ischium 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 S32.69

Also inherited, and the opposite of Excludes1: these conditions are not part of S32.69, 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 S32.69

These codes carry an Excludes1 note pointing at S32.69. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S32.69 alone.

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

Risk adjustment

S32.69 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.

Code history

S32.69 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead S32.69

3 child codes. Green means billable.

Related codes at this level

Codes that share S32.6. If S32.69 is not quite right, the correct code is usually one of these.

Questions about S32.69

Is S32.69 a billable ICD-10-CM code?: No. S32.69 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S32.69 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 S32.69?: S32.69 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 S32.69 (S32.6, S32) and apply to it just the same.