S31.44XD (Puncture wound with foreign body of vagina and vulva, subsequent encounter) compared with S32.1 (Fracture of sacrum), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“open fracture of pelvis (S32.1--S32.9 with 7th character B)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S31.44XD carries an Excludes2 note covering S32.1: “open fracture of pelvis (S32.1--S32.9 with 7th character B)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S31.44XDPuncture wound with foreign body of vagina and vulva, subsequent encounter | S32.1Fracture of sacrum | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Puncture wound with foreign body of vagina and vulva, subsequent encounter is a billable ICD-10-CM diagnosis code (S31.44D). | Fracture of sacrum is a non-billable ICD-10-CM category code (S32.1). |
| 7th character | The appropriate 7th character is to be added to each code from category S31 | The appropriate 7th character is to be added to each code from category S32 |
| Includes | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia | fracture of lumbosacral neural arch fracture of lumbosacral spinous process fracture of lumbosacral transverse process fracture of lumbosacral vertebra |
| Code first | — | any associated spinal cord and spinal nerve injury (S34.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources