S33 vs S39
S33 (Dislocation and sprain of joints and ligaments of lumbar spine and pelvis) compared with S39 (Other and unspecified injuries of abdomen, lower back, pelvis and external genitals), 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. S39 carries an Excludes2 note covering S33: “sprain of joints and ligaments of lumbar spine and pelvis (S33.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S33Dislocation and sprain of joints and ligaments of lumbar spine and pelvis | S39Other and unspecified injuries of abdomen, lower back, pelvis and external genitals | |
|---|---|---|
| Billing status | Non-billable header Report instead: S33.0XXA, S33.0XXD, S33.0XXS, S33.100A, S33.100D | Non-billable header Report instead: S39.001A, S39.001D, S39.001S, S39.002A, S39.002D |
| 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 | Dislocation and sprain of joints and ligaments of lumbar spine and pelvis is a non-billable ICD-10-CM category code (S33). | Other and unspecified injuries of abdomen, lower back, pelvis and external genitals is a non-billable ICD-10-CM category code (S39). |
| 7th character | The appropriate 7th character is to be added to each code from category S33 | The appropriate 7th character is to be added to each code from category S39 |
| Includes | avulsion of joint or ligament of lumbar spine and pelvis laceration of cartilage, joint or ligament of lumbar spine and pelvis sprain of cartilage, joint or ligament of lumbar spine and pelvis traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources