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S32.17XD ICD-10-CM Code: Type 4 fracture of sacrum, subsequent encounter for fracture with routine 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.

Official Registry Overview & Definition

Type 4 fracture of sacrum, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S32.17D).

Official Tabular Instructional Notes

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

  • 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.

Relationships & Classification

Other codes that name S32.17XD 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.-).

Potential MS-DRG 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.

S32.17XA — Type 4 fracture of sacrum, initial encounter for closed fracture Compare S32.17XD vs S32.17XA →, S32.17XB — Type 4 fracture of sacrum, initial encounter for open fracture, 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, S32.17XS — Type 4 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 S32.17XD 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]

Potential MS-DRG

  • 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]
  • S32.14XG — 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]
  • S32.15XA — Type 2 fracture of sacrum, initial encounter for closed fracture [Sibling]
  • S32.15XB — Type 2 fracture of sacrum, initial encounter for open fracture [Sibling]
  • S32.15XD — Type 2 fracture of sacrum, subsequent encounter for fracture with routine healing [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

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

  • S32.16XK — Type 3 fracture of sacrum, subsequent encounter for fracture with nonunion
  • S32.16XS — Type 3 fracture of sacrum, sequela
  • S32.17 — Type 4 fracture of sacrum
  • S32.17XA — Type 4 fracture of sacrum, initial encounter for closed fracture
  • S32.17XB — Type 4 fracture of sacrum, initial encounter for open fracture
  • S32.17XG — 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
  • S32.17XS — Type 4 fracture of sacrum, sequela
  • S32.19 — Other fracture of sacrum
  • S32.19XA — Other fracture of sacrum, initial encounter for closed fracture

View all codes in the S32 family