S32 vs T18.5
S32 (Fracture of lumbar spine and pelvis) compared with T18.5 (Foreign body in anus and rectum), 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. S32 carries an Excludes2 note covering T18.5: “effects of foreign body in anus and rectum (T18.5)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S32Fracture of lumbar spine and pelvis | T18.5Foreign body in anus and rectum | |
|---|---|---|
| Billing status | Non-billable header Report instead: S32.000A, S32.000B, S32.000D, S32.000G, S32.000K | 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 | Fracture of lumbar spine and pelvis is a non-billable ICD-10-CM category code (S32). | Foreign body in anus and rectum is a non-billable ICD-10-CM category code (T18.5). |
| 7th character | The appropriate 7th character is to be added to each code from category S32 | The appropriate 7th character is to be added to each code from category T18 |
| Includes | fracture of lumbosacral neural arch fracture of lumbosacral spinous process fracture of lumbosacral transverse process fracture of lumbosacral vertebra | Foreign body in rectosigmoid (junction) |
| Use additional code | — | code, if known, for foreign body entering into or through a natural orifice (W44.-) |
| 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