S32.811A (Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for closed fracture) compared with S32.811S (Multiple fractures of pelvis with unstable disruption of pelvic ring, sequela), from the official CMS tabular data. S32.811A and S32.811S code the same injury at a different phase of treatment.
Same underlying diagnosis, different encounter phase.
The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.
Source: ICD-10-CM Official Guidelines, Section I.C.19.a
Same injury, other encounter phase. S32.811A and S32.811S 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.
| S32.811AMultiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for closed fracture | S32.811SMultiple fractures of pelvis with unstable disruption of pelvic ring, sequela | |
|---|---|---|
| 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 | Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S32.811A). | Multiple fractures of pelvis with unstable disruption of pelvic ring, sequela is a billable ICD-10-CM diagnosis code (S32.811S). |
| 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