S32.89XK ICD-10-CM Code: Fracture of other parts of pelvis, subsequent encounter for fracture with nonunion
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 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)
- MS-DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)
- MS-DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S32.89XK 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).
- transection of abdomen (S38.3) Compare S32.89XK vs S38.3 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- fracture of hip NOS (S72.0-) Compare S32.89XK vs S72.0 →
- burns and corrosions (T20-T32) Compare S32.89XK vs T20 →
- effects of foreign body in anus and rectum (T18.5) Compare S32.89XK vs T18.5 →
- effects of foreign body in genitourinary tract (T19.-) Compare S32.89XK vs T19 →
- effects of foreign body in stomach, small intestine and colon (T18.2-T18.4) Compare S32.89XK vs T18.2 →
- frostbite (T33-T34) Compare S32.89XK vs T33 →
- insect bite or sting, venomous (T63.4) Compare S32.89XK vs T63.4 →
Code First
Underlying conditions that must be sequenced before this code.
- any associated spinal cord and spinal nerve injury (S34.-)
Frequently Compared Codes
The official Excludes notes on S32.89XK 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
Official ICD-10-CM tabular notes on other codes that name S32.89XK 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)
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 564 (MDC 08), DRG 565 (MDC 08), DRG 566 (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):INJ040 — Fracture of torso, 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.
Contextual Map
Every relationship of S32.89XK 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)
- INJ040 — Fracture of torso, subsequent encounter [CCSR]
Potential MS-DRG
- DRG 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)”
- DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)”
- DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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]
- S32.699D — 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 S32.89XK 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 S32.89XK in its code family, with their registry titles.
- S32.89 — Fracture of other parts of pelvis
- S32.89XA — Fracture of other parts of pelvis, initial encounter for closed fracture
- 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
- S32.89XS — Fracture of other parts of pelvis, sequela
- S32.9 — Fracture of unspecified parts of lumbosacral spine and pelvis
- S32.9XXA — Fracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for closed fracture
- S32.9XXB — Fracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for open fracture
- S32.9XXD — Fracture of unspecified parts of lumbosacral spine and pelvis, subsequent encounter for fracture with routine healing