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S32.009G vs S72.0

S32.009G (Unspecified fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing) compared with S72.0 (Fracture of head and neck of femur), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

These codes can be reported together when both conditions are documented, because S32.009G lists S72.0 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.S32.009G is “Unspecified fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing”; S72.0 is “Fracture of head and neck of femur”. S72.0 is a non-billable header; S32.009G is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.S32.009G lists S72.0 under Excludes2: “fracture of hip NOS (S72.0-)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

Yes.S32.009G’s tabular entry: “fracture of hip NOS (S72.0-)”. The note covers S72.0.

Official ruleGuide: Excludes1 vs Excludes2

Is one a parent or header code?

One is a header.S72.0 is a non-billable header, but S32.009G is not one of its subdivisions.

Registry fact

Nothing found in 3 other checks; 1 check does not apply
Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. S32.009G carries 1 Excludes1 note and S72.0 carries 1 Excludes1 note covering other codes; the side-by-side table quotes them.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

S32.009G
Unspecified fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing
↔
S72.0
Fracture of head and neck of femur

What we found

Yes, when both are documented.S32.009G carries an Excludes2 note covering S72.0: “fracture of hip NOS (S72.0-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

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 / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2027

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
S32.009G

Unspecified fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing

S72.0

Fracture of head and neck of femur

StatusDiffers
S32.009G
Billable
S72.0
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: S72.001A, S72.001B, S72.001C, S72.001D, S72.001E

Excludes1Differs
S32.009G
  • transection of abdomen (S38.3)
S72.0
  • traumatic amputation of hip and thigh (S78.-)
Excludes2Differs
Only at S32.009G
  • fracture of hip NOS (S72.0-)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • insect bite or sting, venomous (T63.4)
Only at S72.0
  • physeal fracture of lower end of femur (S79.1-)
  • physeal fracture of upper end of femur (S79.0-)
  • fracture of lower leg and ankle (S82.-)
  • fracture of foot (S92.-)
  • periprosthetic fracture of prosthetic implant of hip (M97.0-)
  • snake bite (T63.0-)
  • venomous insect bite or sting (T63.4-)
Shared by both codes (2 notes)
  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
Code firstDiffers
S32.009G
  • any associated spinal cord and spinal nerve injury (S34.-)
S72.0

None at this code

CategoryDiffers
S32.009G

S32 Fracture of lumbar spine and pelvis

S72.0

S72 Fracture of femur

ChapterSame for both

S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)

IncludesDiffers
S32.009G
  • fracture of lumbosacral neural arch
  • fracture of lumbosacral spinous process
  • fracture of lumbosacral transverse process
  • fracture of lumbosacral vertebra
  • fracture of lumbosacral vertebral arch
  • injuries to the abdominal wall
  • injuries to the anus
  • injuries to the buttock
  • injuries to the external genitalia
  • injuries to the flank
  • injuries to the groin
S72.0

None at this code

7th characterDiffers
S32.009G
  • The appropriate 7th character is to be added to each code from category S32
S72.0
  • The appropriate 7th character is to be added to all codes from category S72

No Use additional code and Code also note at either code.

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, each code’s own notes are listed under it, and the notes every code shares are listed once beneath them.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources