S33.0XXA
S33.0XXA: Traumatic rupture of lumbar intervertebral disc, initial encounter
Billable / specific codeICD-10-CM
S33.0XXA is a billable, specific ICD-10-CM code for traumatic rupture of lumbar intervertebral disc, initial encounter. It is valid for submission on a claim.
Check S33.0XXA with the rest of the claim: free scrubber7th character "A": initial encounter
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.
- rupture or displacement (nontraumatic) of lumbar intervertebral disc NOS (M51.- with fifth character 6)
Excludes1 inherited from the categories above S33.0XXA
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S33.0XXA
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S33.0XXA is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56396Billing and Coding: Lumbar Spinal Fusion
- A57206Billing and Coding: Lumbar MRI
Code history
Unchanged in every release from FY2024 to FY2027.