S32.17 (Type 4 fracture of sacrum) compared with S72.0 (Fracture of head and neck of femur), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“fracture of hip NOS (S72.0-)”
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: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S32.17 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.
| S32.17Type 4 fracture of sacrum | S72.0Fracture of head and neck of femur | |
|---|---|---|
| Billing status | Non-billable header | 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 | Type 4 fracture of sacrum is a non-billable ICD-10-CM category code (S32.17). | Fracture of head and neck of femur is a non-billable ICD-10-CM category code (S72.0). |
| 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 all codes from category S72 |
| Includes | 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