S33.0XXA — Traumatic rupture of lumbar intervertebral disc, initial encounter
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.
7th 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)
Risk adjustment
S33.0XXA 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
S33.0XXA is named in 5 Medicare coverage policies — 5 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
- A56396Billing and Coding: Lumbar Spinal Fusion
- A57206Billing and Coding: Lumbar MRI
Related codes at this level
Codes that share S33.0. If S33.0XXA is not quite right, the correct code is usually one of these.
Questions about S33.0XXA
- Is S33.0XXA a billable ICD-10-CM code?
- Yes. S33.0XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S33.0XXA 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 S33.0XXA?
- S33.0XXA carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.