ICD-10 S32
Non-Billable HeaderFracture of lumbar spine and pelvis
About ICD-10-CM S32
ICD-10-CM code S32 represents Fracture of lumbar spine and pelvis. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S32). The 2026 edition of ICD-10-CM S32 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Tips for S32
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.
Type 1 Excludes
Pure excludes, these codes can never be coded together with S32. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- transection of abdomen (S38.3)
Type 2 Excludes
Not included here, the excluded code is not part of S32, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- fracture of hip NOS (S72.0-)
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
Coding Notes
Code First
- any associated spinal cord and spinal nerve injury (S34.-)
Seven Chr Note
- The appropriate 7th character is to be added to each code from category S32
Medicare LCD Coverage for S32
Local Coverage Determinations (LCDs) from CMS MACs that list S32 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing S32.
3 Aetna
2 Cigna
CPT Codes Commonly Billed with S32
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To S32
Other codes in section S30-S39 (Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals).
ICD-10 S32, Billing FAQ
Is ICD-10 code S32 billable? +
No, S32 is a non-billable header code. Use a more specific child code from block S32 when submitting claims.
What codes are Type 1 Excludes for S32? +
Type 1 Excludes (never code together with S32): transection of abdomen (S38.3)
What codes are Type 2 Excludes for S32? +
Type 2 Excludes (may be coded together when both conditions exist): fracture of hip NOS (S72.0-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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