S32.82XS vs T63.4

S32.82XS (Multiple fractures of pelvis without disruption of pelvic ring, sequela) compared with T63.4 (Toxic effect of venom of other arthropods), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S32.82XS carries an Excludes2 note covering T63.4: “insect bite or sting, venomous (T63.4)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

	S32.82XSMultiple fractures of pelvis without disruption of pelvic ring, sequela	T63.4Toxic effect of venom of other arthropods
Billing status	Billable	Non-billable header Report instead: T63.411A, T63.411D, T63.411S, T63.412A, T63.412D
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 without disruption of pelvic ring, sequela is a billable ICD-10-CM diagnosis code (S32.82S).	Toxic effect of venom of other arthropods is a non-billable ICD-10-CM category code (T63.4).
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 T63
Includes	fracture of lumbosacral neural arch fracture of lumbosacral spinous process fracture of lumbosacral transverse process fracture of lumbosacral vertebra	bite or touch of venomous animal pricked or stuck by thorn or leaf
Use additional code	—	code, if applicable, for anaphylactic shock (T78.2) code(s): for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
Code first	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