S32.019A is the authoritative medical code for Unspecified fracture of first lumbar vertebra, initial encounter for closed fracture. This classification is used in medical billing and clinical recording to specify the clinical criteria for unspecified fracture of first lumbar vertebra, initial encounter for closed fracture (ICD-10-CM S32.019A), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Unspecified fracture of first lumbar vertebra, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code S32.019A. Includes: fracture of lumbosacral neural arch; fracture of lumbosacral spinous process; fracture of lumbosacral transverse process; fracture of lumbosacral vertebra; fracture of lumbosacral vertebral arch; injuries to the abdominal wall; injuries to the anus; injuries to the buttock; injuries to the external genitalia; injuries to the flank; injuries to the groin. Excludes1 (not coded here): transection of abdomen S38.3. Excludes2 (not included here): fracture of hip NOS S72.0-; burns and corrosions T20-T32; effects of foreign body in anus and rectum T18.5; effects of foreign body in genitourinary tract T19.-; effects of foreign body in stomach, small intestine and colon T18.2-T18.4; frostbite T33-T34; insect bite or sting, venomous T63.4. Code first: any associated spinal cord and spinal nerve injury S34.-. 7th character: The appropriate 7th character is to be added to each code from category S32.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S32.019A in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- fracture of lumbosacral neural arch
- fracture of lumbosacral spinous process
- fracture of lumbosacral transverse process
- fracture of lumbosacral vertebra
- fracture of lumbosacral vertebral arch
- injuries to the abdominal wall
- injuries to the anus
- injuries to the buttock
- injuries to the external genitalia
- injuries to the flank
- injuries to the groin
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- transection of abdomen S38.3
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- fracture of hip NOS S72.0-
- burns and corrosions T20-T32
- effects of foreign body in anus and rectum T18.5
- effects of foreign body in genitourinary tract T19.-
- effects of foreign body in stomach, small intestine and colon T18.2-T18.4
- frostbite T33-T34
- insect bite or sting, venomous T63.4
Code First
Underlying conditions that must be sequenced before this code.
- any associated spinal cord and spinal nerve injury S34.-
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S32.019A require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S32.
What can't be coded together with S32.019A?
Per official ICD-10-CM Excludes1 instructions, S32.019A must not be reported together with: transection of abdomen (S38.3).
Can S32.019A be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, S32.019A and the following are not considered part of each other and may both be reported when both conditions are present: fracture of hip NOS (S72.0-); burns and corrosions (T20-T32); effects of foreign body in anus and rectum (T18.5); effects of foreign body in genitourinary tract (T19.-).
Does S32.019A need to be sequenced after another code?
Yes. Code first: any associated spinal cord and spinal nerve injury (S34.-).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S32.019A in its code family, with their registry titles.
- S32 — Fracture of lumbar spine and pelvis
- S32.0 — Fracture of lumbar vertebra
- S32.00 — Fracture of unspecified lumbar vertebra
- S32.000 — Wedge compression fracture of unspecified lumbar vertebra
- S32.000A — Wedge compression fracture of unspecified lumbar vertebra, initial encounter for closed fracture
- S32.000B — Wedge compression fracture of unspecified lumbar vertebra, initial encounter for open fracture
- S32.000D — Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with routine healing
- S32.000G — Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with delayed healing
- S32.000K — Wedge compression fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion
- S32.000S — Wedge compression fracture of unspecified lumbar vertebra, sequela
View all 40 codes in the S32 family
Indexed Clinical Terms (1)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Fracture, traumatic (abduction) (adduction) (separation), vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process), lumbar, first