S34 vs T18.5
S34 (Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level) compared with T18.5 (Foreign body in anus and rectum), 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. S34 carries an Excludes2 note covering T18.5: “effects of foreign body in anus and rectum (T18.5)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S34Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level | T18.5Foreign body in anus and rectum | |
|---|---|---|
| Billing status | Non-billable header Report instead: S34.01XA, S34.01XD, S34.01XS, S34.02XA, S34.02XD | Non-billable header |
| 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 | Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level is a non-billable ICD-10-CM category code (S34). | Foreign body in anus and rectum is a non-billable ICD-10-CM category code (T18.5). |
| 7th character | The appropriate 7th character is to be added to each code from category S34 | The appropriate 7th character is to be added to each code from category T18 |
| Includes | injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia | Foreign body in rectosigmoid (junction) |
| Use additional code | — | code, if known, for foreign body entering into or through a natural orifice (W44.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources