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    OpenPayerBilling CodesInjuries to the abdomen, lower back, lumbar spine, pelvis and external genitalsICD-10-CM s34-injury-of-lumbar-and-sacral-spinal-cord
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    ICD-10-CM Code For Injury Of Lumbar And Sacral Spinal Cord And Nerves: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S34 includes traumatic and nontraumatic injuries to the lumbar and sacral spinal cord and nerve roots at the abdomen, lower back, and pelvis level, covering conditions that cause motor, sensory, or autonomic dysfunction of the lower trunk and lower extremities. These ICD-10-CM diagnosis codes are used to document clinical scenarios such as lacerations, contusions, compressions, transections, and other injuries that result in neurologic impairment or alteration of function in the lumbar and sacral regions. Accurate coding within the ICD-10-CM S34 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM S34: Injury Of Lumbar And Sacral Spinal Cord And Nerves At Abdomen, Lower Back And Pelvis Level Overview

    This group comprises injuries to the lumbar and sacral segments of the spinal cord and the nerve roots at the level of the abdomen, lower back, and pelvis. These diagnoses target the nervous system components that control lower extremity motor and sensory function, pelvic organ function, and lower trunk sensation. Accurate coding matters for reimbursement because it documents the anatomical site, severity, and potential neurological deficits that influence care complexity and payment.

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    When to Use

    Use a code from this group when a clinical record documents trauma or other injury affecting the lumbar or sacral spinal cord or nerve roots with identified neurologic impairment or anatomical involvement at the abdomen, lower back, or pelvis. Select the most specific code that captures the type of injury, laterality, and any sequelae or complications described in the documentation.

    ICD-10-CM Codes

    93 rows

    ICD-10-CM CodeDescription
    S34.01XAConcussion and edema of lumbar spinal cord, initial encounter
    S34.01XDConcussion and edema of lumbar spinal cord, subsequent encounter
    S34.01XSConcussion and edema of lumbar spinal cord, sequela
    S34.02XAConcussion and edema of sacral spinal cord, initial encounter
    S34.02XDConcussion and edema of sacral spinal cord, subsequent encounter
    S34.02XSConcussion and edema of sacral spinal cord, sequela
    S34.101AUnspecified injury to L1 level of lumbar spinal cord, initial encounter
    S34.101DUnspecified injury to L1 level of lumbar spinal cord, subsequent encounter
    S34.101SUnspecified injury to L1 level of lumbar spinal cord, sequela
    S34.102AUnspecified injury to L2 level of lumbar spinal cord, initial encounter
    S34.102DUnspecified injury to L2 level of lumbar spinal cord, subsequent encounter
    S34.102SUnspecified injury to L2 level of lumbar spinal cord, sequela
    S34.103AUnspecified injury to L3 level of lumbar spinal cord, initial encounter
    S34.103DUnspecified injury to L3 level of lumbar spinal cord, subsequent encounter
    S34.103SUnspecified injury to L3 level of lumbar spinal cord, sequela
    S34.104AUnspecified injury to L4 level of lumbar spinal cord, initial encounter
    S34.104DUnspecified injury to L4 level of lumbar spinal cord, subsequent encounter
    S34.104SUnspecified injury to L4 level of lumbar spinal cord, sequela
    S34.105AUnspecified injury to L5 level of lumbar spinal cord, initial encounter
    S34.105DUnspecified injury to L5 level of lumbar spinal cord, subsequent encounter

    Showing 1–20 of 93

    DRG Codes

    12 rows

    DRG CodeDescription
    052Spinal Disorders and Injuries with CC/MCC
    053Spinal Disorders and Injuries without CC/MCC
    073Cranial and Peripheral Nerve Disorders with MCC
    074Cranial and Peripheral Nerve Disorders without MCC
    091Other Disorders of Nervous System with MCC
    092Other Disorders of Nervous System with CC
    093Other Disorders of Nervous System without CC/MCC
    949Aftercare with CC/MCC
    950Aftercare without CC/MCC
    963Other Multiple Significant Trauma with MCC
    964Other Multiple Significant Trauma with CC
    965Other Multiple Significant Trauma without CC/MCC

    Typical Clinical Scenarios

    • An adult patient arrives to the emergency department after a motor vehicle collision with immediate severe low back pain, numbness and weakness in both lower extremities, and loss of bladder control. Imaging and neurologic exam localize an acute traumatic injury to the lumbar and sacral spinal nerve roots at the level of the pelvis/lower back, necessitating urgent evaluation for possible spinal cord/nerve root compromise; an initial encounter code from the group is assigned. Typical codes: S34.101A, S34.111A
    • An older patient with a history of prior lumbar spine trauma presents to outpatient neurology months later with chronic radicular pain radiating to the posterior thigh and persistent neurogenic bowel dysfunction. This represents a sequela of prior injury to lumbar/sacral spinal nerves causing ongoing neurologic deficits; a subsequent encounter or sequela code from the group is used to capture the chronic condition. Typical codes: S34.101D, S34.111D
    • A hospitalized patient develops new autonomic instability and progressive lower extremity weakness several days after a pelvic fracture and surgical fixation; the treating team documents worsening sacral nerve involvement as a complication of the pelvic injury requiring inpatient management. A complication/comorbidity code from the group is assigned to indicate the sacral/lumbar nerve injury complicating the recent pelvic trauma. Typical codes: S34.109A, S34.119A

    Related Codes

    S30-SUPERFICIAL-INJURY-ABDOMEN-LOWER-BACK

    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

    S32-FRACTURE-OF-LUMBAR-SPINE-AND-PELVIS

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

    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. 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. 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. 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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