S32.10XA vs S38.3
S32.10XA (Unspecified fracture of sacrum, initial encounter for closed fracture) compared with S38.3 (Transection (partial) of abdomen), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. S32.10XA carries an Excludes1 note covering S38.3: “transection of abdomen (S38.3)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| S32.10XAUnspecified fracture of sacrum, initial encounter for closed fracture | S38.3Transection (partial) of abdomen | |
|---|---|---|
| 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 | Unspecified fracture of sacrum, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S32.10A). | Transection (partial) of abdomen is a non-billable ICD-10-CM category code (S38.3). |
| 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 S38 |
| Includes | fracture of lumbosacral neural arch fracture of lumbosacral spinous process fracture of lumbosacral transverse process fracture of lumbosacral vertebra | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia |
| 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