S34

S34: Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level

Non-billable headerICD-10-CM

S34 is a non-billable header ICD-10-CM code for injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level. 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 S34

A: initial encounter
D: subsequent encounter
S: sequela

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

any associated:
fracture of vertebra (S22.0-, S32.0-)
open wound of abdomen, lower back and pelvis (S31.-)
transient paralysis (R29.5)

Notes

Additional guidance from the ICD-10-CM tabular list.

Code to highest level of lumbar cord injury
Injuries to the spinal cord (S34.0 and S34.1) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given.

Other codes that can never be billed with S34

Their own Excludes1 notes name this code, so the conflict is not listed above.

G83.8Other specified paralytic syndromes

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 S34

9 child codes. Green means billable.