2025 ICD-10-CM code S32
Fracture of lumbar spine and pelvis.
Medical necessity for treatment is established by the presence of a fracture confirmed by imaging studies, and the associated symptoms and functional limitations.
Providers diagnose this condition based on physical examination, neurological tests (checking reflexes, muscle strength, and sensation), and imaging studies like X-rays, CT scans, and MRIs. Treatment can involve rest, bracing, physical therapy, medication for pain and inflammation, and sometimes surgery.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
In simple words: A fracture of the lumbar spine and pelvis means a break in the bones of your lower back and hip area. This can happen with or without damage to the nerves in your spine.It's usually caused by trauma like a car accident, a fall, or a sports injury.This type of fracture can be very painful and might make it hard to stand or walk.
Fracture of the lumbar spine and pelvis. 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. Code first any associated spinal cord and spinal nerve injury (S34.-). 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: transection of abdomen (S38.3). Excludes2: fracture of hip NOS (S72.0-)
Example 1: A patient falls from a ladder and suffers a fracture of the L2 vertebra and left iliac wing. This would be coded as S32., A patient is involved in a motor vehicle accident and sustains a fracture of the sacrum and pubic rami. This would be coded as S32., A football player is tackled and experiences a fracture of the L5 transverse process. This would be coded as S32.
Documentation should include the type and location of the fracture(s), any associated neurological deficits, and the mechanism of injury.
** This code represents a fracture of both the lumbar spine and the pelvis. If there is a spinal cord injury, it should be coded separately (S34.-).
- Specialties:Orthopedic surgery, Trauma surgery, Emergency medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office