S32 Fracture of lumbar spine and pelvis

⚠ Non-Billable ICD-10-CM 2026
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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

Related Codes

More Specific Codes

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

Related Codes in 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
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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

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