S32

ICD-10Non-billable category

Fracture of lumbar spine and pelvis

Official ICD-10-CM descriptor (FY2026)

Fracture of lumbar spine and pelvis

S32 is a category heading, not a billable code. CMS does not accept it on a claim; report one of the more specific codes beneath it.

Includes

fracture of lumbosacral neural arch
fracture of lumbosacral spinous process
fracture of lumbosacral transverse process
fracture of lumbosacral vertebra
fracture of lumbosacral vertebral arch

Excludes1

Not coded here. An Excludes1 code should never be reported at the same time as the code above it.

transection of abdomen (S38.3)

Excludes2

Not included here. The condition is not part of this code, but a patient may have both, and both codes may be reported together.

fracture of hip NOS (S72.0-)

Code first

Sequence the underlying condition before this code.

any associated spinal cord and spinal nerve injury (S34.-)

Notes

A fracture not indicated as displaced or nondisplaced should be coded to displaced
A fracture not indicated as opened or closed should be coded to closed

7th character

The appropriate 7th character is to be added to each code from category S32

Permitted 7th characters

A	initial encounter for closed fracture
B	initial encounter for open fracture
D	subsequent encounter for fracture with routine healing
G	subsequent encounter for fracture with delayed healing
K	subsequent encounter for fracture with nonunion
S	sequela

More specific codes under S32

Where this code sits

Chapter: 19. Injury, poisoning and certain other consequences of external causes (S00-T88)
Block: Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)

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Source

ICD-10-CM FY2026. Centers for Medicare & Medicaid Services (CMS) / National Center for Health Statistics (NCHS), “2026 ICD-10-CM Code Descriptions in Tabular Order” (icd10cm_order_2026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.