O71.6 vs S33
O71.6 (Obstetric damage to pelvic joints and ligaments) compared with S33 (Dislocation and sprain of joints and ligaments of lumbar spine and pelvis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. S33 carries an Excludes1 note covering O71.6: “obstetric damage to pelvic joints and ligaments (O71.6)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| O71.6Obstetric damage to pelvic joints and ligaments | S33Dislocation and sprain of joints and ligaments of lumbar spine and pelvis | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S33.0XXA, S33.0XXD, S33.0XXS, S33.100A, S33.100D |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Obstetric damage to pelvic joints and ligaments is a billable ICD-10-CM diagnosis code (O71.6). | Dislocation and sprain of joints and ligaments of lumbar spine and pelvis is a non-billable ICD-10-CM category code (S33). |
| 7th character | — | The appropriate 7th character is to be added to each code from category S33 |
| Includes | obstetric damage from instruments Obstetric avulsion of inner symphyseal cartilage Obstetric damage to coccyx Obstetric traumatic separation of symphysis (pubis) | avulsion of joint or ligament of lumbar spine and pelvis laceration of cartilage, joint or ligament of lumbar spine and pelvis sprain of cartilage, joint or ligament of lumbar spine and pelvis traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources