ICD-10-CM S32: Fracture of lumbar spine and pelvis

ICD-10-CM Diagnosis Code (2025)

Official Description for S32

Fracture of lumbar spine and pelvis

Coding Notes & Guidelines for S32

Includes Notes
  • 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

transection of abdomen (S38.3)

Excludes1: Not Coded Here

fracture of ilium with associated disruption of pelvic ring (S32.8-)

Excludes1: Not Coded Here

fracture of pubis with associated disruption of pelvic ring (S32.8-)

Excludes1: Not Coded Here

fracture of ischium with associated disruption of pelvic ring (S32.8-)

Excludes2: Not Included Here

fracture of hip NOS (S72.0-)

Code First

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

Inclusion Terms

Fracture of lumbar spine NOS

Inclusion Terms
  • For vertical fractures, code to most medial fracture extension
  • Use two codes if both a vertical and transverse fracture are present
Inclusion Terms

Vertical sacral ala fracture of sacrum

Inclusion Terms

Vertical foraminal region fracture of sacrum

Inclusion Terms

Vertical fracture into spinal canal region of sacrum

Inclusion Terms

Transverse flexion fracture of sacrum without displacement

Inclusion Terms

Transverse flexion fracture of sacrum with posterior displacement

Inclusion Terms

Transverse extension fracture of sacrum with anterior displacement

Inclusion Terms

Transverse segmental comminution of upper sacrum

Inclusion Terms

Multiple pelvic fractures with disruption of pelvic circle

Inclusion Terms

Multiple pelvic fractures without disruption of pelvic circle

Inclusion Terms
  • Fracture of lumbosacral spine NOS
  • Fracture of pelvis NOS
Code Also

any associated fracture of pelvic ring (S32.8-)

Code Also

any associated fracture of pelvic ring (S32.8-)

Code Also
  • any associated:
  • fracture of acetabulum (S32.4-)
  • sacral fracture (S32.1-)
7th Character Guidance

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

7th Character Definitions
  • 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

Child Codes (More Specific Codes for S32):

S32.0 - Fracture of lumbar vertebra S32.00 - Fracture of unspecified lumbar vertebra S32.000 - Wedge compression fracture of unspecified lumbar vertebra S32.001 - Stable burst fracture of unspecified lumbar vertebra S32.002 - Unstable burst fracture of unspecified lumbar vertebra S32.008 - Other fracture of unspecified lumbar vertebra S32.009 - Unspecified fracture of unspecified lumbar vertebra S32.01 - Fracture of first lumbar vertebra S32.010 - Wedge compression fracture of first lumbar vertebra S32.011 - Stable burst fracture of first lumbar vertebra S32.012 - Unstable burst fracture of first lumbar vertebra S32.018 - Other fracture of first lumbar vertebra S32.019 - Unspecified fracture of first lumbar vertebra S32.02 - Fracture of second lumbar vertebra S32.020 - Wedge compression fracture of second lumbar vertebra S32.021 - Stable burst fracture of second lumbar vertebra S32.022 - Unstable burst fracture of second lumbar vertebra S32.028 - Other fracture of second lumbar vertebra S32.029 - Unspecified fracture of second lumbar vertebra S32.03 - Fracture of third lumbar vertebra S32.030 - Wedge compression fracture of third lumbar vertebra S32.031 - Stable burst fracture of third lumbar vertebra S32.032 - Unstable burst fracture of third lumbar vertebra S32.038 - Other fracture of third lumbar vertebra S32.039 - Unspecified fracture of third lumbar vertebra S32.04 - Fracture of fourth lumbar vertebra S32.040 - Wedge compression fracture of fourth lumbar vertebra S32.041 - Stable burst fracture of fourth lumbar vertebra S32.042 - Unstable burst fracture of fourth lumbar vertebra S32.048 - Other fracture of fourth lumbar vertebra S32.049 - Unspecified fracture of fourth lumbar vertebra S32.05 - Fracture of fifth lumbar vertebra S32.050 - Wedge compression fracture of fifth lumbar vertebra S32.051 - Stable burst fracture of fifth lumbar vertebra S32.052 - Unstable burst fracture of fifth lumbar vertebra S32.058 - Other fracture of fifth lumbar vertebra S32.059 - Unspecified fracture of fifth lumbar vertebra S32.1 - Fracture of sacrum S32.10 - Unspecified fracture of sacrum S32.11 - Zone I fracture of sacrum S32.110 - Nondisplaced Zone I fracture of sacrum S32.111 - Minimally displaced Zone I fracture of sacrum S32.112 - Severely displaced Zone I fracture of sacrum S32.119 - Unspecified Zone I fracture of sacrum S32.12 - Zone II fracture of sacrum S32.120 - Nondisplaced Zone II fracture of sacrum S32.121 - Minimally displaced Zone II fracture of sacrum S32.122 - Severely displaced Zone II fracture of sacrum S32.129 - Unspecified Zone II fracture of sacrum S32.13 - Zone III fracture of sacrum S32.130 - Nondisplaced Zone III fracture of sacrum S32.131 - Minimally displaced Zone III fracture of sacrum S32.132 - Severely displaced Zone III fracture of sacrum S32.139 - Unspecified Zone III fracture of sacrum S32.14 - Type 1 fracture of sacrum S32.15 - Type 2 fracture of sacrum S32.16 - Type 3 fracture of sacrum S32.17 - Type 4 fracture of sacrum S32.19 - Other fracture of sacrum S32.2 - Fracture of coccyx S32.3 - Fracture of ilium S32.30 - Unspecified fracture of ilium S32.301 - Unspecified fracture of right ilium S32.302 - Unspecified fracture of left ilium S32.309 - Unspecified fracture of unspecified ilium S32.31 - Avulsion fracture of ilium S32.311 - Displaced avulsion fracture of right ilium S32.312 - Displaced avulsion fracture of left ilium S32.313 - Displaced avulsion fracture of unspecified ilium S32.314 - Nondisplaced avulsion fracture of right ilium S32.315 - Nondisplaced avulsion fracture of left ilium S32.316 - Nondisplaced avulsion fracture of unspecified ilium S32.39 - Other fracture of ilium S32.391 - Other fracture of right ilium S32.392 - Other fracture of left ilium S32.399 - Other fracture of unspecified ilium S32.4 - Fracture of acetabulum S32.40 - Unspecified fracture of acetabulum S32.401 - Unspecified fracture of right acetabulum S32.402 - Unspecified fracture of left acetabulum S32.409 - Unspecified fracture of unspecified acetabulum S32.41 - Fracture of anterior wall of acetabulum S32.411 - Displaced fracture of anterior wall of right acetabulum S32.412 - Displaced fracture of anterior wall of left acetabulum S32.413 - Displaced fracture of anterior wall of unspecified acetabulum S32.414 - Nondisplaced fracture of anterior wall of right acetabulum S32.415 - Nondisplaced fracture of anterior wall of left acetabulum S32.416 - Nondisplaced fracture of anterior wall of unspecified acetabulum S32.42 - Fracture of posterior wall of acetabulum S32.421 - Displaced fracture of posterior wall of right acetabulum S32.422 - Displaced fracture of posterior wall of left acetabulum S32.423 - Displaced fracture of posterior wall of unspecified acetabulum S32.424 - Nondisplaced fracture of posterior wall of right acetabulum S32.425 - Nondisplaced fracture of posterior wall of left acetabulum S32.426 - Nondisplaced fracture of posterior wall of unspecified acetabulum S32.43 - Fracture of anterior column [iliopubic] of acetabulum S32.431 - Displaced fracture of anterior column [iliopubic] of right acetabulum S32.432 - Displaced fracture of anterior column [iliopubic] of left acetabulum S32.433 - Displaced fracture of anterior column [iliopubic] of unspecified acetabulum S32.434 - Nondisplaced fracture of anterior column [iliopubic] of right acetabulum S32.435 - Nondisplaced fracture of anterior column [iliopubic] of left acetabulum S32.436 - Nondisplaced fracture of anterior column [iliopubic] of unspecified acetabulum S32.44 - Fracture of posterior column [ilioischial] of acetabulum S32.441 - Displaced fracture of posterior column [ilioischial] of right acetabulum S32.442 - Displaced fracture of posterior column [ilioischial] of left acetabulum S32.443 - Displaced fracture of posterior column [ilioischial] of unspecified acetabulum S32.444 - Nondisplaced fracture of posterior column [ilioischial] of right acetabulum S32.445 - Nondisplaced fracture of posterior column [ilioischial] of left acetabulum S32.446 - Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum S32.45 - Transverse fracture of acetabulum S32.451 - Displaced transverse fracture of right acetabulum S32.452 - Displaced transverse fracture of left acetabulum S32.453 - Displaced transverse fracture of unspecified acetabulum S32.454 - Nondisplaced transverse fracture of right acetabulum S32.455 - Nondisplaced transverse fracture of left acetabulum S32.456 - Nondisplaced transverse fracture of unspecified acetabulum S32.46 - Associated transverse-posterior fracture of acetabulum S32.461 - Displaced associated transverse-posterior fracture of right acetabulum S32.462 - Displaced associated transverse-posterior fracture of left acetabulum S32.463 - Displaced associated transverse-posterior fracture of unspecified acetabulum S32.464 - Nondisplaced associated transverse-posterior fracture of right acetabulum S32.465 - Nondisplaced associated transverse-posterior fracture of left acetabulum S32.466 - Nondisplaced associated transverse-posterior fracture of unspecified acetabulum S32.47 - Fracture of medial wall of acetabulum S32.471 - Displaced fracture of medial wall of right acetabulum S32.472 - Displaced fracture of medial wall of left acetabulum S32.473 - Displaced fracture of medial wall of unspecified acetabulum S32.474 - Nondisplaced fracture of medial wall of right acetabulum S32.475 - Nondisplaced fracture of medial wall of left acetabulum S32.476 - Nondisplaced fracture of medial wall of unspecified acetabulum S32.48 - Dome fracture of acetabulum S32.481 - Displaced dome fracture of right acetabulum S32.482 - Displaced dome fracture of left acetabulum S32.483 - Displaced dome fracture of unspecified acetabulum S32.484 - Nondisplaced dome fracture of right acetabulum S32.485 - Nondisplaced dome fracture of left acetabulum S32.486 - Nondisplaced dome fracture of unspecified acetabulum S32.49 - Other specified fracture of acetabulum S32.491 - Other specified fracture of right acetabulum S32.492 - Other specified fracture of left acetabulum S32.499 - Other specified fracture of unspecified acetabulum S32.5 - Fracture of pubis S32.50 - Unspecified fracture of pubis S32.501 - Unspecified fracture of right pubis S32.502 - Unspecified fracture of left pubis S32.509 - Unspecified fracture of unspecified pubis S32.51 - Fracture of superior rim of pubis S32.511 - Fracture of superior rim of right pubis S32.512 - Fracture of superior rim of left pubis S32.519 - Fracture of superior rim of unspecified pubis S32.59 - Other specified fracture of pubis S32.591 - Other specified fracture of right pubis S32.592 - Other specified fracture of left pubis S32.599 - Other specified fracture of unspecified pubis S32.6 - Fracture of ischium S32.60 - Unspecified fracture of ischium S32.601 - Unspecified fracture of right ischium S32.602 - Unspecified fracture of left ischium S32.609 - Unspecified fracture of unspecified ischium S32.61 - Avulsion fracture of ischium S32.611 - Displaced avulsion fracture of right ischium S32.612 - Displaced avulsion fracture of left ischium S32.613 - Displaced avulsion fracture of unspecified ischium S32.614 - Nondisplaced avulsion fracture of right ischium S32.615 - Nondisplaced avulsion fracture of left ischium S32.616 - Nondisplaced avulsion fracture of unspecified ischium S32.69 - Other specified fracture of ischium S32.691 - Other specified fracture of right ischium S32.692 - Other specified fracture of left ischium S32.699 - Other specified fracture of unspecified ischium S32.8 - Fracture of other parts of pelvis S32.81 - Multiple fractures of pelvis with disruption of pelvic ring S32.810 - Multiple fractures of pelvis with stable disruption of pelvic ring S32.811 - Multiple fractures of pelvis with unstable disruption of pelvic ring S32.82 - Multiple fractures of pelvis without disruption of pelvic ring S32.89 - Fracture of other parts of pelvis S32.9 - Fracture of unspecified parts of lumbosacral spine and pelvis

About ICD-10-CM Code S32 (Fracture of lumbar spine and pelvis)

ICD-10-CM code S32 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM S32 became effective on October 1, 2024.

This page provides detailed information about S32 - Fracture of lumbar spine and pelvis. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Fracture of lumbar spine and pelvis.