S32.0 vs S33.1
S32.0 (Fracture of lumbar vertebra) compared with S33.1 (Subluxation and dislocation of lumbar vertebra), 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. S33.1 carries an Excludes2 note covering S32.0: “fracture of lumbar vertebrae (S32.0-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S32.0Fracture of lumbar vertebra | S33.1Subluxation and dislocation of lumbar vertebra | |
|---|---|---|
| Billing status | Non-billable header Report instead: S32.000A, S32.000B, S32.000D, S32.000G, S32.000K | Non-billable header Report instead: S33.100A, S33.100D, S33.100S, S33.101A, S33.101D |
| 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 vertebra is a non-billable ICD-10-CM category code (S32.0). | Subluxation and dislocation of lumbar vertebra is a non-billable ICD-10-CM category code (S33.1). |
| 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 S33 |
| Includes | fracture of lumbosacral neural arch fracture of lumbosacral spinous process fracture of lumbosacral transverse process fracture of lumbosacral vertebra | 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 |
| 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