S31.45XS vs S32.1
S31.45XS (Open bite of vagina and vulva, sequela) compared with S32.1 (Fracture of sacrum), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. S31.45XS 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.
Side by side
| S31.45XSOpen bite of vagina and vulva, sequela | S32.1Fracture of sacrum | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S32.10XA, S32.10XB, S32.10XD, S32.10XG, S32.10XK |
| 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 | Open bite of vagina and vulva, sequela is a billable ICD-10-CM diagnosis code (S31.45S). | 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