S33: Dislocation and sprain of joints and ligaments of lumbar spine and pelvis
S33 is a non-billable header ICD-10-CM code for dislocation and sprain of joints and ligaments of lumbar spine and pelvis. 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 S33
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- any associated open wound
Includes
Conditions this code covers.
- avulsion of joint or ligament of lumbar spine and pelvis
- laceration of cartilage, joint or ligament of lumbar spine and pelvis
- sprain of cartilage, joint or ligament of lumbar spine and pelvis
- traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis
- traumatic rupture of joint or ligament of lumbar spine and pelvis
- traumatic subluxation of joint or ligament of lumbar spine and pelvis
- traumatic tear of joint or ligament of lumbar spine and pelvis
Other codes that can never be billed with S33
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M43.1Spondylolisthesis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S33
9 child codes. Green means billable.
- S33.0Traumatic rupture of lumbar intervertebral disc
- S33.1Subluxation and dislocation of lumbar vertebra
- S33.2Dislocation of sacroiliac and sacrococcygeal joint
- S33.3Dislocation of other and unspecified parts of lumbar spine and pelvis
- S33.4Traumatic rupture of symphysis pubis
- S33.5Sprain of ligaments of lumbar spine
- S33.6Sprain of sacroiliac joint
- S33.8Sprain of other parts of lumbar spine and pelvis
- S33.9Sprain of unspecified parts of lumbar spine and pelvis