S32 Fracture of lumbar spine and pelvis

⚠ Non-Billable ICD-10-CM 2026
Create your free account → Open S32 in the app →

Get what a quick lookup can't: the AI assistant for official-guideline questions, HCC risk-adjustment mappings (CMS-HCC V24/V28, RxHCC), FDA drug indications, and AHA Coding Clinic references for S32.

The ICD-10-CM code for Fracture of lumbar spine and pelvis is S32 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
S30-S39: Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
Category S32
178 codes (141 billable)
FY2026 Status
Stable since FY2024
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. These conditions should NOT be coded together with S32.
  • transection of abdomen (S38.3)
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • fracture of hip NOS (S72.0-)
Code First
  • 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

Official Coding Guidelines

Code traumatic fractures individually by site per listed categories

c. Coding of Traumatic Fractures The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site in accordance with both the provisions within categories S02, S12, S22, S32, S42, S49, S52, S59, S62, S72, S79, S82, S89, S92 and the level of detail furnished by medical record content.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.19.c
Sequence blood vessel/nerve injury first (fragment)

injury is to the blood vessels or nerves, that injury should be sequenced first.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.19.b.2

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Cite This Page

Reference S32 with the canonical source and edition:

S32 — Fracture of lumbar spine and pelvis. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/S32

Canonical URL: https://icd10codingpro.com/codes/S32

Related Codes

All Codes in S32

Every most-specific code under S32 Fracture of lumbar spine and pelvis (141 codes):

Show the complete S32 code list
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 S32.010 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 S32.020 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 S32.030 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 S32.040 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 S32.050 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 S32.10 Unspecified 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 S32.120 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 S32.130 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 S32.301 Unspecified fracture of right ilium S32.302 Unspecified fracture of left ilium S32.309 Unspecified fracture of unspecified 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 S32.391 Other fracture of right ilium S32.392 Other fracture of left ilium S32.399 Other fracture of unspecified ilium S32.401 Unspecified fracture of right acetabulum S32.402 Unspecified fracture of left acetabulum S32.409 Unspecified fracture of unspecified 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 S32.421 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 S32.431 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 S32.441 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 S32.451 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 S32.461 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 S32.471 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 S32.481 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 S32.491 Other specified fracture of right acetabulum S32.492 Other specified fracture of left acetabulum S32.499 Other specified fracture of unspecified acetabulum S32.501 Unspecified fracture of right pubis S32.502 Unspecified fracture of left pubis S32.509 Unspecified fracture of unspecified 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 S32.591 Other specified fracture of right pubis S32.592 Other specified fracture of left pubis S32.599 Other specified fracture of unspecified pubis S32.601 Unspecified fracture of right ischium S32.602 Unspecified fracture of left ischium S32.609 Unspecified fracture of unspecified 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 S32.691 Other specified fracture of right ischium S32.692 Other specified fracture of left ischium S32.699 Other specified fracture of unspecified ischium 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
Search all 70,000+ ICD-10-CM codes →
Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

Get HCC Mappings, Clinical Summaries, and More

Access premium features including HCC risk adjustment, FDA drug indications, AI coding assistant, and comprehensive clinical context.

Start Free Trial