S32.591A vs S32.591D
S32.591A (Other specified fracture of right pubis, initial encounter for closed fracture) compared with S32.591D (Other specified fracture of right pubis, subsequent encounter for fracture with routine healing), from the official CMS tabular data. S32.591A and S32.591D code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S32.591A and S32.591D code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
Side by side
| S32.591AOther specified fracture of right pubis, initial encounter for closed fracture | S32.591DOther specified fracture of right pubis, subsequent encounter for fracture with routine healing | |
|---|---|---|
| Billing status | Billable | Billable |
| 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 | Other specified fracture of right pubis, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S32.591A). | Other specified fracture of right pubis, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S32.591D). |
| 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 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.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources