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S32.15XG ICD-10-CM Code: Type 2 fracture of sacrum, subsequent encounter for fracture with delayed healing

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)
  • MS-DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)
  • MS-DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Code Overview

Type 2 fracture of sacrum, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S32.15G).

Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S32.15XG 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 inherited from S32
  • fracture of lumbosacral spinous process inherited from S32
  • fracture of lumbosacral transverse process inherited from S32
  • fracture of lumbosacral vertebra inherited from S32
  • fracture of lumbosacral vertebral arch inherited from S32
  • injuries to the abdominal wall inherited from S30-S39
  • injuries to the anus inherited from S30-S39
  • injuries to the buttock inherited from S30-S39
  • injuries to the external genitalia inherited from S30-S39
  • injuries to the flank inherited from S30-S39
  • injuries to the groin inherited from S30-S39

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Transverse flexion fracture of sacrum with posterior displacement inherited from S32.15

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code First

Underlying conditions that must be sequenced before this code.

  • any associated spinal cord and spinal nerve injury (S34.-) inherited from S32

Code Also

Additional codes that may be required to fully describe the encounter.

  • any associated fracture of pelvic ring (S32.8-) inherited from S32.1

Frequently Compared Codes

The official Excludes notes on S32.15XG name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2016 — 2015-10-01
    In the code set at ICD-10-CM adoption
    Type 2 fracture of sacrum, subsequent encounter for fracture with delayed healing

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

Other codes that name S32.15XG or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 3 Excludes1 notes: M48.5 (via S32.-), M84.3 (via S32.-), M84.4 (via S32.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Excludes2 note: S31 (via S32.1.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 1 Use Additional Code instruction: S38.1 (via S32.-).

These codes instruct coders to additionally report this code when it applies.

Referenced by 1 Code Also instruction: S32.8 (via S32.1.-).

These codes suggest coding this condition alongside when both are present.

MS-DRG Grouper Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 3 MS-DRGs: DRG 559 (MDC 08), DRG 560 (MDC 08), DRG 561 (MDC 08).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INJ039 — Fracture of the spine and back, subsequent encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

S32.15XA — Type 2 fracture of sacrum, initial encounter for closed fracture Compare S32.15XG vs S32.15XA →, S32.15XB — Type 2 fracture of sacrum, initial encounter for open fracture, S32.15XD — Type 2 fracture of sacrum, subsequent encounter for fracture with routine healing, S32.15XK — Type 2 fracture of sacrum, subsequent encounter for fracture with nonunion, S32.15XS — Type 2 fracture of sacrum, sequela

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Fracture of the spine and back, subsequent encounter).

+493 more

Contextual Map

Every relationship of S32.15XG in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • S30-S39 — Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals [Hierarchy]

Referenced by Excludes1 notes

  • M48.5 — Collapsed vertebra, not elsewhere classified [Excludes1](via S32.-): “traumatic fracture of vertebra (S12.-, S22.-, S32.-)” · check together
  • M84.3 — Stress fracture [Excludes1](via S32.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)” · check together
  • M84.4 — Pathological fracture, not elsewhere classified [Excludes1](via S32.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)” · check together

Referenced by Excludes2 notes

  • S31 — Open wound of abdomen, lower back, pelvis and external genitals [Excludes2](via S32.1.-): “open fracture of pelvis (S32.1--S32.9 with 7th character B)” · check together

Referenced by Use Additional Code instructions

  • S38.1 — Crushing injury of abdomen, lower back, and pelvis [Use Additional Code](via S32.-): “fracture of thoracic or lumbar spine and pelvis (S22.0-, S32.-)” · check together

Referenced by Code Also instructions

  • S32.8 — Fracture of other parts of pelvis [Code Also](via S32.1.-): “sacral fracture (S32.1-)” · check together

Clinical classification (CCSR)

  • INJ039 — Fracture of the spine and back, subsequent encounter [CCSR]

MS-DRG Grouper

  • DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)”
  • DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)”
  • DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)”

MDC crossing · procedures (18508)

  • MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • and 18503 more

Nearest codes (40)

  • S32 — Fracture of lumbar spine and pelvis [Sibling]
  • S32.132K — Severely displaced Zone III fracture of sacrum, subsequent encounter for fracture with nonunion [Sibling]
  • S32.132S — Severely displaced Zone III fracture of sacrum, sequela [Sibling]
  • S32.139 — Unspecified Zone III fracture of sacrum [Sibling]
  • S32.139A — Unspecified Zone III fracture of sacrum, initial encounter for closed fracture [Sibling]
  • S32.139B — Unspecified Zone III fracture of sacrum, initial encounter for open fracture [Sibling]
  • S32.139D — Unspecified Zone III fracture of sacrum, subsequent encounter for fracture with routine healing [Sibling]
  • S32.139G — Unspecified Zone III fracture of sacrum, subsequent encounter for fracture with delayed healing [Sibling]
  • and 32 more

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S32.15XG require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S32.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S32.15XG in its code family, with their registry titles.

  • S32.14XS — Type 1 fracture of sacrum, sequela
  • S32.15 — Type 2 fracture of sacrum
  • S32.15XA — Type 2 fracture of sacrum, initial encounter for closed fracture
  • S32.15XB — Type 2 fracture of sacrum, initial encounter for open fracture
  • S32.15XD — Type 2 fracture of sacrum, subsequent encounter for fracture with routine healing
  • S32.15XK — Type 2 fracture of sacrum, subsequent encounter for fracture with nonunion
  • S32.15XS — Type 2 fracture of sacrum, sequela
  • S32.16 — Type 3 fracture of sacrum
  • S32.16XA — Type 3 fracture of sacrum, initial encounter for closed fracture
  • S32.16XB — Type 3 fracture of sacrum, initial encounter for open fracture

View all codes in the S32 family