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S32.2XXS ICD-10-CM Code: Fracture of coccyx, sequela

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 551 — MEDICAL BACK PROBLEMS WITH MCC (MDC 08)
  • MS-DRG 552 — MEDICAL BACK PROBLEMS WITHOUT 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

Fracture of coccyx, sequela is a billable ICD-10-CM diagnosis code (S32.2S).

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 S32.2XXS 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

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

Frequently Compared Codes

The official Excludes notes on S32.2XXS 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
    Fracture of coccyx, sequela

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 S32.2XXS 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 Use Additional Code instruction: S38.1 (via S32.-).

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

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 2 MS-DRGs: DRG 551 (MDC 08), DRG 552 (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):INJ073 — Injury, sequela (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.

S32.2XXA — Fracture of coccyx, initial encounter for closed fracture Compare S32.2XXS vs S32.2XXA →, S32.2XXB — Fracture of coccyx, initial encounter for open fracture, S32.2XXD — Fracture of coccyx, subsequent encounter for fracture with routine healing, S32.2XXG — Fracture of coccyx, subsequent encounter for fracture with delayed healing, S32.2XXK — Fracture of coccyx, subsequent encounter for fracture with nonunion

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Injury, sequela).

+7578 more

Contextual Map

Every relationship of S32.2XXS 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 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

Clinical classification (CCSR)

  • INJ073 — Injury, sequela [CCSR]

MS-DRG Grouper

  • DRG 551 — MEDICAL BACK PROBLEMS WITH MCC [MS-DRG]: “MEDICAL BACK PROBLEMS WITH MCC (MDC 08)”
  • DRG 552 — MEDICAL BACK PROBLEMS WITHOUT MCC [MS-DRG]: “MEDICAL BACK PROBLEMS WITHOUT 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]
  • S32.17 — Type 4 fracture of sacrum [Sibling]
  • S32.17XA — Type 4 fracture of sacrum, initial encounter for closed fracture [Sibling]
  • S32.17XB — Type 4 fracture of sacrum, initial encounter for open fracture [Sibling]
  • S32.17XD — Type 4 fracture of sacrum, subsequent encounter for fracture with routine healing [Sibling]
  • S32.17XG — Type 4 fracture of sacrum, subsequent encounter for fracture with delayed healing [Sibling]
  • S32.17XK — Type 4 fracture of sacrum, subsequent encounter for fracture with nonunion [Sibling]
  • S32.17XS — Type 4 fracture of sacrum, sequela [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 S32.2XXS 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 S32.2XXS in its code family, with their registry titles.

  • S32.2XXA — Fracture of coccyx, initial encounter for closed fracture
  • S32.2XXB — Fracture of coccyx, initial encounter for open fracture
  • S32.2XXD — Fracture of coccyx, subsequent encounter for fracture with routine healing
  • S32.2XXG — Fracture of coccyx, subsequent encounter for fracture with delayed healing
  • S32.2XXK — Fracture of coccyx, subsequent encounter for fracture with nonunion
  • S32.3 — Fracture of ilium
  • S32.30 — Unspecified fracture of ilium
  • S32.301 — Unspecified fracture of right ilium
  • S32.301A — Unspecified fracture of right ilium, initial encounter for closed fracture
  • S32.301B — Unspecified fracture of right ilium, initial encounter for open fracture

View all codes in the S32 family