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S32.17 ICD-10-CM Code: Type 4 fracture of sacrum

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Type 4 fracture of sacrum is a non-billable ICD-10-CM category code (S32.17). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S32.17 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

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Transverse segmental comminution of upper sacrum

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.-)

Code Also

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

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

Frequently Compared Codes

The official Excludes notes on S32.17 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

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

Relationships & Classification

Other codes that name S32.17 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.

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

1 Excludes2 notes: S31 (via S32.1.-).

1 Use Additional Code instructions: S38.1 (via S32.-).

1 Code Also instructions: S32.8 (via S32.1.-).

Contextual Map

Every relationship of S32.17 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]

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

Nearest codes (40)

  • S32 — Fracture of lumbar spine and pelvis [Sibling]
  • S32.14XA — Type 1 fracture of sacrum, initial encounter for closed fracture [Sibling]
  • S32.14XB — Type 1 fracture of sacrum, initial encounter for open fracture [Sibling]
  • S32.14XD — Type 1 fracture of sacrum, subsequent encounter for fracture with routine healing [Sibling]
  • S32.14XG — Type 1 fracture of sacrum, subsequent encounter for fracture with delayed healing [Sibling]
  • S32.14XK — Type 1 fracture of sacrum, subsequent encounter for fracture with nonunion [Sibling]
  • S32.14XS — Type 1 fracture of sacrum, sequela [Sibling]
  • S32.15 — Type 2 fracture of sacrum [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S32.17 be billed directly?

No. S32.17 (Type 4 fracture of sacrum) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S32.17 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 S32.17 in its code family, with their registry titles.

  • S32.16XB — Type 3 fracture of sacrum, initial encounter for open fracture
  • S32.16XD — Type 3 fracture of sacrum, subsequent encounter for fracture with routine healing
  • S32.16XG — Type 3 fracture of sacrum, subsequent encounter for fracture with delayed healing
  • S32.16XK — Type 3 fracture of sacrum, subsequent encounter for fracture with nonunion
  • S32.16XS — Type 3 fracture of sacrum, sequela
  • S32.17XA — Type 4 fracture of sacrum, initial encounter for closed fracture
  • S32.17XB — Type 4 fracture of sacrum, initial encounter for open fracture
  • S32.17XD — Type 4 fracture of sacrum, subsequent encounter for fracture with routine healing
  • S32.17XG — Type 4 fracture of sacrum, subsequent encounter for fracture with delayed healing
  • S32.17XK — Type 4 fracture of sacrum, subsequent encounter for fracture with nonunion

View all codes in the S32 family