S33.4XXA ICD-10-CM Code: Traumatic rupture of symphysis pubis, initial encounter
S33.4XXA is the authoritative medical code for Traumatic rupture of symphysis pubis, initial encounter. This classification is used in medical billing and clinical recording to specify the clinical criteria for traumatic rupture of symphysis pubis, initial encounter (ICD-10-CM S33.4XXA), ensuring healthcare documentation aligns with current federal coding standards.
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 (FY2026), Appendix B.
- MS-DRG 537 — SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC (MDC 08)
- MS-DRG 538 — SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/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.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S33.4XXA 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
Does S33.4XXA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S33.
What can't be coded together with S33.4XXA?
Per official ICD-10-CM Excludes1 instructions, S33.4XXA must not be reported together with: nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-); obstetric damage to pelvic joints and ligaments (O71.6).
Can S33.4XXA be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, S33.4XXA and the following are not considered part of each other and may both be reported when both conditions 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).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S33.4XXA in its code family, with their registry titles.
- 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
- S33.4XXD — 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