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S32.444A vs S32.446A

S32.444A (Nondisplaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for closed fracture) compared with S32.446A (Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum, initial encounter for closed fracture), from the official CMS tabular data. S32.444A and S32.446A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S32.444A
Right
Nondisplaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for closed fracture
↔
S32.446A
Unspecified
Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum, initial encounter for closed fracture

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S32.444A and S32.446A name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S32.444ANondisplaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for closed fractureS32.446ANondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum, initial encounter for closed fracture
Billing statusBillableBillable
ClassificationS00-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)
DefinitionNondisplaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S32.444A).Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S32.446A).
7th characterThe appropriate 7th character is to be added to each code from category S32The appropriate 7th character is to be added to each code from category S32
Includes
fracture of lumbosacral neural arch
fracture of lumbosacral spinous process
fracture of lumbosacral transverse process
fracture of lumbosacral vertebra
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.-)
any associated spinal cord and spinal nerve injury (S34.-)
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources