S32.17 (Type 4 fracture of sacrum) compared with T18.2 (Foreign body in stomach), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)”
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 T18.2: “effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S32.17Type 4 fracture of sacrum | T18.2Foreign body in stomach | |
|---|---|---|
| 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). | Foreign body in stomach is a non-billable ICD-10-CM category code (T18.2). |
| 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 | — |
| 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