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S32.89XA ICD-10-CM Code: Fracture of other parts of pelvis, initial encounter for closed fracture

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 535 — FRACTURES OF HIP AND PELVIS WITH MCC (MDC 08)
  • MS-DRG 536 — FRACTURES OF HIP AND PELVIS WITHOUT MCC (MDC 08)
  • MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
  • MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
  • MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)

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.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 402 — Hip Fracture/Dislocation

Other models: CMS-HCC V22 HCC 170

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Official Registry Overview & Definition

Fracture of other parts of pelvis, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S32.89A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S32.89XA 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 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 acetabulum (S32.4-)
  • sacral fracture (S32.1-)

Frequently Compared Codes

The official Excludes notes on S32.89XA 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

  • CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.

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

Relationships & Classification

Official ICD-10-CM tabular notes on other codes that name S32.89XA or its code family.

6 Excludes1 notes across 2 chapters: M48.5 (via S32.-), M84.3 (via S32.-), M84.4 (via S32.-), S32.3 (via S32.8.-), S32.5 (via S32.8.-), S32.6 (via S32.8.-).

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

2 Code Also instructions: S32.1 (via S32.8.-), S32.4 (via S32.8.-).

Potential MS-DRG Relationships (FY2026)

CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 535 clinically related codes on its CMS exclusion list. Does not count toward severity when the stay groups to DRGs 957-959 (Other O.R. Procedures for Multiple Significant Trauma); DRGs 963-965 (Other Multiple Significant Trauma).

Named in the grouper logic of 5 MS-DRGs: DRG 535 (MDC 08), DRG 536 (MDC 08), DRG 963 (MDC 24), DRG 964 (MDC 24), DRG 965 (MDC 24).

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

Clinical classification (AHRQ CCSR):INJ003 — Fracture of torso, initial encounter (default).

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

Contextual Map

Every relationship of S32.89XA 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
  • S32.3 — Fracture of ilium [Excludes1](via S32.8.-): “fracture of ilium with associated disruption of pelvic ring (S32.8-)” · check together
  • S32.5 — Fracture of pubis [Excludes1](via S32.8.-): “fracture of pubis with associated disruption of pelvic ring (S32.8-)” · check together
  • S32.6 — Fracture of ischium [Excludes1](via S32.8.-): “fracture of ischium with associated disruption of pelvic ring (S32.8-)” · 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

  • S32.1 — Fracture of sacrum [Code Also](via S32.8.-): “any associated fracture of pelvic ring (S32.8-)” · check together
  • S32.4 — Fracture of acetabulum [Code Also](via S32.8.-): “any associated fracture of pelvic ring (S32.8-)” · check together

Clinical classification (CCSR)

  • INJ003 — Fracture of torso, initial encounter [CCSR]

Risk adjustment (CMS-HCC)

  • HCC 402 — Hip Fracture/Dislocation [CMS-HCC]

Potential MS-DRG

  • CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC). Not counted when the stay groups to DRGs 957-959 (Other O.R. Procedures for Multiple Significant Trauma); DRGs 963-965 (Other Multiple Significant Trauma).”
  • DRG 535 — FRACTURES OF HIP AND PELVIS WITH MCC [MS-DRG]: “FRACTURES OF HIP AND PELVIS WITH MCC (MDC 08)”
  • DRG 536 — FRACTURES OF HIP AND PELVIS WITHOUT MCC [MS-DRG]: “FRACTURES OF HIP AND PELVIS WITHOUT MCC (MDC 08)”
  • DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)”
  • DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)”
  • DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC [MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)”

MDC crossing · procedures (41465)

  • 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.”
  • MDC 24 — Multiple Significant Trauma [MDC crossing]: “Multiple Significant Trauma — 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 41460 more

Nearest codes (40)

  • S32 — Fracture of lumbar spine and pelvis [Sibling]
  • S32.699D — Other specified fracture of unspecified ischium, subsequent encounter for fracture with routine healing [Sibling]
  • S32.699G — Other specified fracture of unspecified ischium, subsequent encounter for fracture with delayed healing [Sibling]
  • S32.699K — Other specified fracture of unspecified ischium, subsequent encounter for fracture with nonunion [Sibling]
  • S32.699S — Other specified fracture of unspecified ischium, sequela [Sibling]
  • S32.8 — Fracture of other parts of pelvis [Sibling]
  • S32.81 — Multiple fractures of pelvis with disruption of pelvic ring [Sibling]
  • S32.810 — Multiple fractures of pelvis with stable disruption of pelvic ring [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S32.89XA 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 S32.89XA in its code family, with their registry titles.

  • S32.82XD — Multiple fractures of pelvis without disruption of pelvic ring, subsequent encounter for fracture with routine healing
  • S32.82XG — Multiple fractures of pelvis without disruption of pelvic ring, subsequent encounter for fracture with delayed healing
  • S32.82XK — Multiple fractures of pelvis without disruption of pelvic ring, subsequent encounter for fracture with nonunion
  • S32.82XS — Multiple fractures of pelvis without disruption of pelvic ring, sequela
  • S32.89 — Fracture of other parts of pelvis
  • S32.89XB — Fracture of other parts of pelvis, initial encounter for open fracture
  • S32.89XD — Fracture of other parts of pelvis, subsequent encounter for fracture with routine healing
  • S32.89XG — Fracture of other parts of pelvis, subsequent encounter for fracture with delayed healing
  • S32.89XK — Fracture of other parts of pelvis, subsequent encounter for fracture with nonunion
  • S32.89XS — Fracture of other parts of pelvis, sequela

View all codes in the S32 family