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ICD-10/S33

S33 ICD-10-CM Code: Dislocation and sprain of joints and ligaments of lumbar spine and pelvis

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

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Dislocation and sprain of joints and ligaments of lumbar spine and pelvis is a non-billable ICD-10-CM category code (S33). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S33 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • avulsion of joint or ligament of lumbar spine and pelvis
  • laceration of cartilage, joint or ligament of lumbar spine and pelvis
  • sprain of cartilage, joint or ligament of lumbar spine and pelvis
  • traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis
  • traumatic rupture of joint or ligament of lumbar spine and pelvis
  • traumatic subluxation of joint or ligament of lumbar spine and pelvis
  • traumatic tear of joint or ligament of lumbar spine and pelvis
  • 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 that can never be reported with this code; the two are mutually exclusive.

  • nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-)
  • obstetric damage to pelvic joints and ligaments (O71.6)

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • dislocation and sprain of joints and ligaments of hip (S73.-)
  • strain of muscle of lower back and pelvis (S39.01-)
  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)

Code Also

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

  • any associated open wound

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S33 be billed directly?

No. S33 (Dislocation and sprain of joints and ligaments of lumbar spine and pelvis) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S33 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S33; A: initial encounter; D: subsequent encounter; S: sequela.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S33 in its code family, with their registry titles.

  • S33.0 — Traumatic rupture of lumbar intervertebral disc
  • S33.0XXA — Traumatic rupture of lumbar intervertebral disc, initial encounter
  • S33.0XXD — Traumatic rupture of lumbar intervertebral disc, subsequent encounter
  • S33.0XXS — Traumatic rupture of lumbar intervertebral disc, sequela
  • S33.1 — Subluxation and dislocation of lumbar vertebra
  • S33.10 — Subluxation and dislocation of unspecified lumbar vertebra
  • S33.100 — Subluxation of unspecified lumbar vertebra
  • S33.100A — Subluxation of unspecified lumbar vertebra, initial encounter
  • S33.100D — Subluxation of unspecified lumbar vertebra, subsequent encounter
  • S33.100S — Subluxation of unspecified lumbar vertebra, sequela
  • S33.101 — Dislocation of unspecified lumbar vertebra
  • S33.101A — Dislocation of unspecified lumbar vertebra, initial encounter
  • S33.101D — Dislocation of unspecified lumbar vertebra, subsequent encounter
  • S33.101S — Dislocation of unspecified lumbar vertebra, sequela
  • S33.11 — Subluxation and dislocation of L1/L2 lumbar vertebra
  • S33.110 — Subluxation of L1/L2 lumbar vertebra
  • S33.110A — Subluxation of L1/L2 lumbar vertebra, initial encounter
  • S33.110D — Subluxation of L1/L2 lumbar vertebra, subsequent encounter
  • S33.110S — Subluxation of L1/L2 lumbar vertebra, sequela
  • S33.111 — Dislocation of L1/L2 lumbar vertebra
  • S33.111A — Dislocation of L1/L2 lumbar vertebra, initial encounter
  • S33.111D — Dislocation of L1/L2 lumbar vertebra, subsequent encounter
  • S33.111S — Dislocation of L1/L2 lumbar vertebra, sequela
  • S33.12 — Subluxation and dislocation of L2/L3 lumbar vertebra
  • S33.120 — Subluxation of L2/L3 lumbar vertebra
  • S33.120A — Subluxation of L2/L3 lumbar vertebra, initial encounter
  • S33.120D — Subluxation of L2/L3 lumbar vertebra, subsequent encounter
  • S33.120S — Subluxation of L2/L3 lumbar vertebra, sequela
  • S33.121 — Dislocation of L2/L3 lumbar vertebra
  • S33.121A — Dislocation of L2/L3 lumbar vertebra, initial encounter
  • S33.121D — Dislocation of L2/L3 lumbar vertebra, subsequent encounter
  • S33.121S — Dislocation of L2/L3 lumbar vertebra, sequela
  • S33.13 — Subluxation and dislocation of L3/L4 lumbar vertebra
  • S33.130 — Subluxation of L3/L4 lumbar vertebra
  • S33.130A — Subluxation of L3/L4 lumbar vertebra, initial encounter
  • S33.130D — Subluxation of L3/L4 lumbar vertebra, subsequent encounter
  • S33.130S — Subluxation of L3/L4 lumbar vertebra, sequela
  • S33.131 — Dislocation of L3/L4 lumbar vertebra
  • S33.131A — Dislocation of L3/L4 lumbar vertebra, initial encounter
  • S33.131D — Dislocation of L3/L4 lumbar vertebra, subsequent encounter
  • S33.131S — Dislocation of L3/L4 lumbar vertebra, sequela
  • S33.14 — Subluxation and dislocation of L4/L5 lumbar vertebra
  • S33.140 — Subluxation of L4/L5 lumbar vertebra
  • S33.140A — Subluxation of L4/L5 lumbar vertebra, initial encounter
  • S33.140D — Subluxation of L4/L5 lumbar vertebra, subsequent encounter
  • S33.140S — Subluxation of L4/L5 lumbar vertebra, sequela
  • S33.141 — Dislocation of L4/L5 lumbar vertebra
  • S33.141A — Dislocation of L4/L5 lumbar vertebra, initial encounter
  • S33.141D — Dislocation of L4/L5 lumbar vertebra, subsequent encounter
  • S33.141S — Dislocation of L4/L5 lumbar vertebra, sequela
  • S33.2 — Dislocation of sacroiliac and sacrococcygeal joint
  • S33.2XXA — Dislocation of sacroiliac and sacrococcygeal joint, initial encounter
  • S33.2XXD — Dislocation of sacroiliac and sacrococcygeal joint, subsequent encounter
  • S33.2XXS — Dislocation of sacroiliac and sacrococcygeal joint, sequela
  • S33.3 — Dislocation of other and unspecified parts of lumbar spine and pelvis
  • S33.30 — Dislocation of unspecified parts of lumbar spine and pelvis
  • S33.30XA — Dislocation of unspecified parts of lumbar spine and pelvis, initial encounter
  • S33.30XD — Dislocation of unspecified parts of lumbar spine and pelvis, subsequent encounter
  • S33.30XS — Dislocation of unspecified parts of lumbar spine and pelvis, sequela
  • S33.39 — Dislocation of other parts of lumbar spine and pelvis
  • S33.39XA — Dislocation of other parts of lumbar spine and pelvis, initial encounter
  • S33.39XD — Dislocation of other parts of lumbar spine and pelvis, subsequent encounter
  • S33.39XS — Dislocation of other parts of lumbar spine and pelvis, sequela
  • S33.4 — Traumatic rupture of symphysis pubis
  • S33.4XXA — Traumatic rupture of symphysis pubis, initial encounter
  • S33.4XXD — Traumatic rupture of symphysis pubis, subsequent encounter
  • S33.4XXS — Traumatic rupture of symphysis pubis, sequela
  • S33.5 — Sprain of ligaments of lumbar spine
  • S33.5XXA — Sprain of ligaments of lumbar spine, initial encounter
  • S33.5XXD — Sprain of ligaments of lumbar spine, subsequent encounter
  • S33.5XXS — Sprain of ligaments of lumbar spine, sequela
  • S33.6 — Sprain of sacroiliac joint
  • S33.6XXA — Sprain of sacroiliac joint, initial encounter
  • S33.6XXD — Sprain of sacroiliac joint, subsequent encounter
  • S33.6XXS — Sprain of sacroiliac joint, sequela
  • S33.8 — Sprain of other parts of lumbar spine and pelvis
  • S33.8XXA — Sprain of other parts of lumbar spine and pelvis, initial encounter
  • S33.8XXD — Sprain of other parts of lumbar spine and pelvis, subsequent encounter
  • S33.8XXS — Sprain of other parts of lumbar spine and pelvis, sequela
  • S33.9 — Sprain of unspecified parts of lumbar spine and pelvis
  • S33.9XXA — Sprain of unspecified parts of lumbar spine and pelvis, initial encounter
  • S33.9XXD — Sprain of unspecified parts of lumbar spine and pelvis, subsequent encounter
  • S33.9XXS — Sprain of unspecified parts of lumbar spine and pelvis, sequela