MCMCB Pro
S33.30XS

S33.30XSDislocation of unspecified parts of lumbar spine and pelvis, sequela

Billable / specific codeICD-10-CMPOA exempt

S33.30XS is a billable, specific ICD-10-CM code for dislocation of unspecified parts of lumbar spine and pelvis, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category S33

A
initial encounter
D
subsequent encounter
S
sequela

Risk adjustment

S33.30XS 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

S33.30XS is named in 2 Medicare coverage policies 2 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
  • A57311Billing and Coding: Physical Therapy - Home Health

Related codes at this level

Codes that share S33.30. If S33.30XS is not quite right, the correct code is usually one of these.

Questions about S33.30XS

Is S33.30XS a billable ICD-10-CM code?
Yes. S33.30XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S33.30XS 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.