ICD-10-CM Code For Fracture Of Lumbar Spine And Pelvis: Group Overview

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S32 includes fractures of the lumbar spine, sacrum, coccyx, and pelvic bones, covering specific sites such as vertebral body fractures, sacral alar fractures, and pelvic ring disruptions. These ICD-10-CM diagnosis codes are used to document traumatic injuries to the lower back and pelvic girdle, capturing details about fracture location, severity, displacement, and associated injuries. Accurate coding within the ICD-10-CM S32 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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ICD-10-CM S32: Fracture Of Lumbar Spine And Pelvis Overview

This code group represents fractures affecting the lumbar vertebrae, sacrum, coccyx, and pelvic bones, including associated sacroiliac and pubic ring injuries. It targets musculoskeletal trauma to the lower back and pelvic girdle and related structures. Accurate coding matters for reimbursement because it captures injury location, displacement, and associated complications that affect clinical complexity and payment.

When to Use

Use a code from this group when a patient has a documented fracture of the lumbar spine, sacrum, coccyx, or pelvis from trauma or injury. Select the most specific code that reflects the exact site, laterality, and any documented complications or associated injuries.

ICD-10-CM Codes

846 rows

ICD-10-CM Code	Description
S32.000A	Wedge compression fracture of unspecified lumbar vertebra, initial encounter for closed fracture
S32.000B	Wedge compression fracture of unspecified lumbar vertebra, initial encounter for open fracture
S32.000D	Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing
S32.000G	Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing
S32.000K	Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion
S32.000S	Wedge compression fracture of unspecified lumbar vertebra, sequela
S32.001A	Stable burst fracture of unspecified lumbar vertebra, initial encounter for closed fracture
S32.001B	Stable burst fracture of unspecified lumbar vertebra, initial encounter for open fracture
S32.001D	Stable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing
S32.001G	Stable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing
S32.001K	Stable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion
S32.001S	Stable burst fracture of unspecified lumbar vertebra, sequela
S32.002A	Unstable burst fracture of unspecified lumbar vertebra, initial encounter for closed fracture
S32.002B	Unstable burst fracture of unspecified lumbar vertebra, initial encounter for open fracture
S32.002D	Unstable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing
S32.002G	Unstable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing
S32.002K	Unstable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion
S32.002S	Unstable burst fracture of unspecified lumbar vertebra, sequela
S32.008A	Other fracture of unspecified lumbar vertebra, initial encounter for closed fracture
S32.008B	Other fracture of unspecified lumbar vertebra, initial encounter for open fracture

Showing 1–20 of 846

DRG Codes

15 rows

DRG Code	Description
521	Hip Replacement with Principal Diagnosis of Hip Fracture with MCC
522	Hip Replacement with Principal Diagnosis of Hip Fracture without MCC
535	Fractures of Hip and Pelvis with MCC
536	Fractures of Hip and Pelvis without MCC
551	Medical Back Problems with MCC
552	Medical Back Problems without MCC
559	Aftercare, Musculoskeletal System and Connective Tissue with MCC
560	Aftercare, Musculoskeletal System and Connective Tissue with CC
561	Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC
564	Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
565	Other Musculoskeletal System and Connective Tissue Diagnoses with CC
566	Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC
963	Other Multiple Significant Trauma with MCC
964	Other Multiple Significant Trauma with CC
965	Other Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An elderly woman falls at home onto her side and presents to the emergency department with severe lower back pain, focal tenderness over the sacrum and difficulty bearing weight; imaging (CT or pelvic X‑ray) demonstrates an acute nondisplaced fracture of the sacrum/lumbar transverse process requiring analgesia and activity modification. A diagnosis from this group is assigned to capture the acute traumatic fracture and initial encounter for care. Typical codes: S32.010A, S32.011A
A middle‑aged motor vehicle crash victim arrives with hemodynamic stability but persistent pelvic pain and radiologic evidence of a displaced pelvic ring fracture involving the ilium and sacroiliac region; the patient is admitted for operative fixation and postoperative monitoring. A code from this group is used to document the traumatic pelvic fracture during the inpatient encounter and to guide surgical planning and inpatient status. Typical codes: S32.030A, S32.031A
An outpatient with a history of a lumbar vertebral compression fracture treated nonoperatively several weeks earlier returns with unresolved chronic low back pain, radiographs showing a healing but nonunited fracture, and ongoing functional limitation; the visit documents follow‑up care and assessment of delayed healing. A group code is assigned to indicate the sequela/follow‑up status of the prior lumbar/pelvic fracture. Typical codes: S32.000D, S32.009D

ICD-10-CM Code For Superficial Injury Of Abdomen, Lower Back, Pelvis And External Genitals: Group Overview

S31-OPEN-WOUND-ABDOMEN-LOWER-BACK-PELVIS-EXTERNAL-GENITALS

ICD-10-CM Code For Open Wound Of Abdomen Lower Back Pelvis And External Genitals: Group Overview

S33-DISLOCATION-AND-SPRAIN-LUMBAR-SPINE-PELVIS

ICD-10-CM Code For Dislocation And Sprain Of Joints And Ligaments Of Lumbar Spine And Pelvis: Group Overview

S34-INJURY-OF-LUMBAR-AND-SACRAL-SPINAL-CORD

ICD-10-CM Code For Injury Of Lumbar And Sacral Spinal Cord And Nerves: Group Overview

S35-INJURY-OF-ABDOMINAL-VESSELS

ICD-10-CM Code For Injury Of Blood Vessels At Abdomen Lower Back And Pelvis Level: Group Overview

S36-INJURY-OF-INTRA-ABDOMINAL-ORGANS

ICD-10-CM Code For Injury Of Intra-Abdominal Organs: Group Overview

S37-INJURY-OF-URINARY-AND-PELVIC-ORGANS

ICD-10-CM Code For Injury Of Urinary And Pelvic Organs: Group Overview

S38-CRUSHING-INJURY-AND-TRAUMATIC-AMPUTATION

ICD-10-CM Code For Crushing Injury And Traumatic Amputation Of Abdomen Lower Back Pelvis And External Genitals: Group Overview

S39-OTHER-UNSPECIFIED-ABDOMINAL-PELVIC-INJURIES

ICD-10-CM Code For Other And Unspecified Injuries Of Abdomen Lower Back Pelvis And External Genitals: Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-CM Codes

846 rows

ICD-10-CM Code	Description
S32.000A	Wedge compression fracture of unspecified lumbar vertebra, initial encounter for closed fracture
S32.000B	Wedge compression fracture of unspecified lumbar vertebra, initial encounter for open fracture
S32.000D	Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing
S32.000G	Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing
S32.000K	Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion
S32.000S	Wedge compression fracture of unspecified lumbar vertebra, sequela
S32.001A	Stable burst fracture of unspecified lumbar vertebra, initial encounter for closed fracture
S32.001B	Stable burst fracture of unspecified lumbar vertebra, initial encounter for open fracture
S32.001D	Stable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing
S32.001G	Stable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing
S32.001K	Stable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion
S32.001S	Stable burst fracture of unspecified lumbar vertebra, sequela
S32.002A	Unstable burst fracture of unspecified lumbar vertebra, initial encounter for closed fracture
S32.002B	Unstable burst fracture of unspecified lumbar vertebra, initial encounter for open fracture
S32.002D	Unstable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing
S32.002G	Unstable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing
S32.002K	Unstable burst fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion
S32.002S	Unstable burst fracture of unspecified lumbar vertebra, sequela
S32.008A	Other fracture of unspecified lumbar vertebra, initial encounter for closed fracture
S32.008B	Other fracture of unspecified lumbar vertebra, initial encounter for open fracture

Showing 1–20 of 846

DRG Codes

15 rows

DRG Code	Description
521	Hip Replacement with Principal Diagnosis of Hip Fracture with MCC
522	Hip Replacement with Principal Diagnosis of Hip Fracture without MCC
535	Fractures of Hip and Pelvis with MCC
536	Fractures of Hip and Pelvis without MCC
551	Medical Back Problems with MCC
552	Medical Back Problems without MCC
559	Aftercare, Musculoskeletal System and Connective Tissue with MCC
560	Aftercare, Musculoskeletal System and Connective Tissue with CC
561	Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC
564	Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
565	Other Musculoskeletal System and Connective Tissue Diagnoses with CC
566	Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC
963	Other Multiple Significant Trauma with MCC
964	Other Multiple Significant Trauma with CC
965	Other Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An elderly woman falls at home onto her side and presents to the emergency department with severe lower back pain, focal tenderness over the sacrum and difficulty bearing weight; imaging (CT or pelvic X‑ray) demonstrates an acute nondisplaced fracture of the sacrum/lumbar transverse process requiring analgesia and activity modification. A diagnosis from this group is assigned to capture the acute traumatic fracture and initial encounter for care. Typical codes: S32.010A, S32.011A
A middle‑aged motor vehicle crash victim arrives with hemodynamic stability but persistent pelvic pain and radiologic evidence of a displaced pelvic ring fracture involving the ilium and sacroiliac region; the patient is admitted for operative fixation and postoperative monitoring. A code from this group is used to document the traumatic pelvic fracture during the inpatient encounter and to guide surgical planning and inpatient status. Typical codes: S32.030A, S32.031A
An outpatient with a history of a lumbar vertebral compression fracture treated nonoperatively several weeks earlier returns with unresolved chronic low back pain, radiographs showing a healing but nonunited fracture, and ongoing functional limitation; the visit documents follow‑up care and assessment of delayed healing. A group code is assigned to indicate the sequela/follow‑up status of the prior lumbar/pelvic fracture. Typical codes: S32.000D, S32.009D

ICD-10-CM Code For Superficial Injury Of Abdomen, Lower Back, Pelvis And External Genitals: Group Overview

S31-OPEN-WOUND-ABDOMEN-LOWER-BACK-PELVIS-EXTERNAL-GENITALS

ICD-10-CM Code For Open Wound Of Abdomen Lower Back Pelvis And External Genitals: Group Overview

S33-DISLOCATION-AND-SPRAIN-LUMBAR-SPINE-PELVIS

ICD-10-CM Code For Dislocation And Sprain Of Joints And Ligaments Of Lumbar Spine And Pelvis: Group Overview

S34-INJURY-OF-LUMBAR-AND-SACRAL-SPINAL-CORD

ICD-10-CM Code For Injury Of Lumbar And Sacral Spinal Cord And Nerves: Group Overview

S35-INJURY-OF-ABDOMINAL-VESSELS

ICD-10-CM Code For Injury Of Blood Vessels At Abdomen Lower Back And Pelvis Level: Group Overview

S36-INJURY-OF-INTRA-ABDOMINAL-ORGANS

ICD-10-CM Code For Injury Of Intra-Abdominal Organs: Group Overview

S37-INJURY-OF-URINARY-AND-PELVIC-ORGANS

ICD-10-CM Code For Injury Of Urinary And Pelvic Organs: Group Overview

S38-CRUSHING-INJURY-AND-TRAUMATIC-AMPUTATION

ICD-10-CM Code For Crushing Injury And Traumatic Amputation Of Abdomen Lower Back Pelvis And External Genitals: Group Overview

S39-OTHER-UNSPECIFIED-ABDOMINAL-PELVIC-INJURIES

ICD-10-CM Code For Other And Unspecified Injuries Of Abdomen Lower Back Pelvis And External Genitals: Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-CM Code For Fracture Of Lumbar Spine And Pelvis: Group Overview

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ICD-10-CM S32: Fracture Of Lumbar Spine And Pelvis Overview

ICD-10-CM Code For Fracture Of Lumbar Spine And Pelvis: Group Overview

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ICD-10-CM S32: Fracture Of Lumbar Spine And Pelvis Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-CM Code For Fracture Of Lumbar Spine And Pelvis: Group Overview

Sign up for ICD-10-CM Code For Fracture Of Lumbar Spine And Pelvis: Group Overview policy alerts

ICD-10-CM S32: Fracture Of Lumbar Spine And Pelvis Overview

ICD-10-CM Code For Fracture Of Lumbar Spine And Pelvis: Group Overview

Sign up for ICD-10-CM Code For Fracture Of Lumbar Spine And Pelvis: Group Overview policy alerts

ICD-10-CM S32: Fracture Of Lumbar Spine And Pelvis Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which injuries are included in ICD-10-CM code group `S32`?

How do the characters after `S32` modify the diagnosis code?

Why is accurate coding within `S32` important for reimbursement?

Can `S32` codes indicate whether a fracture is open or closed?

Which DRGs are commonly related to fractures captured in `S32`?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which injuries are included in ICD-10-CM code group `S32`?

How do the characters after `S32` modify the diagnosis code?

Why is accurate coding within `S32` important for reimbursement?

Can `S32` codes indicate whether a fracture is open or closed?

Which DRGs are commonly related to fractures captured in `S32`?

References