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ICD-10/S34

S34 ICD-10-CM Code: Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level

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

Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level is a non-billable ICD-10-CM category code (S34). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S34 in the official ICD-10-CM tabular list.

Includes

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

  • 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

Excludes2 — Not Included Here

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

  • 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:
  • fracture of vertebra (S22.0-, S32.0-)
  • open wound of abdomen, lower back and pelvis (S31.-)
  • transient paralysis (R29.5)

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S34 be billed directly?

No. S34 (Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S34 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S34; A: initial encounter; D: subsequent encounter; S: sequela.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S34 in its code family, with their registry titles.

  • S34.0 — Concussion and edema of lumbar and sacral spinal cord
  • S34.01 — Concussion and edema of lumbar spinal cord
  • S34.01XA — Concussion and edema of lumbar spinal cord, initial encounter
  • S34.01XD — Concussion and edema of lumbar spinal cord, subsequent encounter
  • S34.01XS — Concussion and edema of lumbar spinal cord, sequela
  • S34.02 — Concussion and edema of sacral spinal cord
  • S34.02XA — Concussion and edema of sacral spinal cord, initial encounter
  • S34.02XD — Concussion and edema of sacral spinal cord, subsequent encounter
  • S34.02XS — Concussion and edema of sacral spinal cord, sequela
  • S34.1 — Other and unspecified injury of lumbar and sacral spinal cord
  • S34.10 — Unspecified injury to lumbar spinal cord
  • S34.101 — Unspecified injury to L1 level of lumbar spinal cord
  • S34.101A — Unspecified injury to L1 level of lumbar spinal cord, initial encounter
  • S34.101D — Unspecified injury to L1 level of lumbar spinal cord, subsequent encounter
  • S34.101S — Unspecified injury to L1 level of lumbar spinal cord, sequela
  • S34.102 — Unspecified injury to L2 level of lumbar spinal cord
  • S34.102A — Unspecified injury to L2 level of lumbar spinal cord, initial encounter
  • S34.102D — Unspecified injury to L2 level of lumbar spinal cord, subsequent encounter
  • S34.102S — Unspecified injury to L2 level of lumbar spinal cord, sequela
  • S34.103 — Unspecified injury to L3 level of lumbar spinal cord
  • S34.103A — Unspecified injury to L3 level of lumbar spinal cord, initial encounter
  • S34.103D — Unspecified injury to L3 level of lumbar spinal cord, subsequent encounter
  • S34.103S — Unspecified injury to L3 level of lumbar spinal cord, sequela
  • S34.104 — Unspecified injury to L4 level of lumbar spinal cord
  • S34.104A — Unspecified injury to L4 level of lumbar spinal cord, initial encounter
  • S34.104D — Unspecified injury to L4 level of lumbar spinal cord, subsequent encounter
  • S34.104S — Unspecified injury to L4 level of lumbar spinal cord, sequela
  • S34.105 — Unspecified injury to L5 level of lumbar spinal cord
  • S34.105A — Unspecified injury to L5 level of lumbar spinal cord, initial encounter
  • S34.105D — Unspecified injury to L5 level of lumbar spinal cord, subsequent encounter
  • S34.105S — Unspecified injury to L5 level of lumbar spinal cord, sequela
  • S34.109 — Unspecified injury to unspecified level of lumbar spinal cord
  • S34.109A — Unspecified injury to unspecified level of lumbar spinal cord, initial encounter
  • S34.109D — Unspecified injury to unspecified level of lumbar spinal cord, subsequent encounter
  • S34.109S — Unspecified injury to unspecified level of lumbar spinal cord, sequela
  • S34.11 — Complete lesion of lumbar spinal cord
  • S34.111 — Complete lesion of L1 level of lumbar spinal cord
  • S34.111A — Complete lesion of L1 level of lumbar spinal cord, initial encounter
  • S34.111D — Complete lesion of L1 level of lumbar spinal cord, subsequent encounter
  • S34.111S — Complete lesion of L1 level of lumbar spinal cord, sequela
  • S34.112 — Complete lesion of L2 level of lumbar spinal cord
  • S34.112A — Complete lesion of L2 level of lumbar spinal cord, initial encounter
  • S34.112D — Complete lesion of L2 level of lumbar spinal cord, subsequent encounter
  • S34.112S — Complete lesion of L2 level of lumbar spinal cord, sequela
  • S34.113 — Complete lesion of L3 level of lumbar spinal cord
  • S34.113A — Complete lesion of L3 level of lumbar spinal cord, initial encounter
  • S34.113D — Complete lesion of L3 level of lumbar spinal cord, subsequent encounter
  • S34.113S — Complete lesion of L3 level of lumbar spinal cord, sequela
  • S34.114 — Complete lesion of L4 level of lumbar spinal cord
  • S34.114A — Complete lesion of L4 level of lumbar spinal cord, initial encounter
  • S34.114D — Complete lesion of L4 level of lumbar spinal cord, subsequent encounter
  • S34.114S — Complete lesion of L4 level of lumbar spinal cord, sequela
  • S34.115 — Complete lesion of L5 level of lumbar spinal cord
  • S34.115A — Complete lesion of L5 level of lumbar spinal cord, initial encounter
  • S34.115D — Complete lesion of L5 level of lumbar spinal cord, subsequent encounter
  • S34.115S — Complete lesion of L5 level of lumbar spinal cord, sequela
  • S34.119 — Complete lesion of unspecified level of lumbar spinal cord
  • S34.119A — Complete lesion of unspecified level of lumbar spinal cord, initial encounter
  • S34.119D — Complete lesion of unspecified level of lumbar spinal cord, subsequent encounter
  • S34.119S — Complete lesion of unspecified level of lumbar spinal cord, sequela
  • S34.12 — Incomplete lesion of lumbar spinal cord
  • S34.121 — Incomplete lesion of L1 level of lumbar spinal cord
  • S34.121A — Incomplete lesion of L1 level of lumbar spinal cord, initial encounter
  • S34.121D — Incomplete lesion of L1 level of lumbar spinal cord, subsequent encounter
  • S34.121S — Incomplete lesion of L1 level of lumbar spinal cord, sequela
  • S34.122 — Incomplete lesion of L2 level of lumbar spinal cord
  • S34.122A — Incomplete lesion of L2 level of lumbar spinal cord, initial encounter
  • S34.122D — Incomplete lesion of L2 level of lumbar spinal cord, subsequent encounter
  • S34.122S — Incomplete lesion of L2 level of lumbar spinal cord, sequela
  • S34.123 — Incomplete lesion of L3 level of lumbar spinal cord
  • S34.123A — Incomplete lesion of L3 level of lumbar spinal cord, initial encounter
  • S34.123D — Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounter
  • S34.123S — Incomplete lesion of L3 level of lumbar spinal cord, sequela
  • S34.124 — Incomplete lesion of L4 level of lumbar spinal cord
  • S34.124A — Incomplete lesion of L4 level of lumbar spinal cord, initial encounter
  • S34.124D — Incomplete lesion of L4 level of lumbar spinal cord, subsequent encounter
  • S34.124S — Incomplete lesion of L4 level of lumbar spinal cord, sequela
  • S34.125 — Incomplete lesion of L5 level of lumbar spinal cord
  • S34.125A — Incomplete lesion of L5 level of lumbar spinal cord, initial encounter
  • S34.125D — Incomplete lesion of L5 level of lumbar spinal cord, subsequent encounter
  • S34.125S — Incomplete lesion of L5 level of lumbar spinal cord, sequela
  • S34.129 — Incomplete lesion of unspecified level of lumbar spinal cord
  • S34.129A — Incomplete lesion of unspecified level of lumbar spinal cord, initial encounter
  • S34.129D — Incomplete lesion of unspecified level of lumbar spinal cord, subsequent encounter
  • S34.129S — Incomplete lesion of unspecified level of lumbar spinal cord, sequela
  • S34.13 — Other and unspecified injury to sacral spinal cord
  • S34.131 — Complete lesion of sacral spinal cord
  • S34.131A — Complete lesion of sacral spinal cord, initial encounter
  • S34.131D — Complete lesion of sacral spinal cord, subsequent encounter
  • S34.131S — Complete lesion of sacral spinal cord, sequela
  • S34.132 — Incomplete lesion of sacral spinal cord
  • S34.132A — Incomplete lesion of sacral spinal cord, initial encounter
  • S34.132D — Incomplete lesion of sacral spinal cord, subsequent encounter
  • S34.132S — Incomplete lesion of sacral spinal cord, sequela
  • S34.139 — Unspecified injury to sacral spinal cord
  • S34.139A — Unspecified injury to sacral spinal cord, initial encounter
  • S34.139D — Unspecified injury to sacral spinal cord, subsequent encounter
  • S34.139S — Unspecified injury to sacral spinal cord, sequela
  • S34.2 — Injury of nerve root of lumbar and sacral spine
  • S34.21 — Injury of nerve root of lumbar spine
  • S34.21XA — Injury of nerve root of lumbar spine, initial encounter
  • S34.21XD — Injury of nerve root of lumbar spine, subsequent encounter
  • S34.21XS — Injury of nerve root of lumbar spine, sequela
  • S34.22 — Injury of nerve root of sacral spine
  • S34.22XA — Injury of nerve root of sacral spine, initial encounter
  • S34.22XD — Injury of nerve root of sacral spine, subsequent encounter
  • S34.22XS — Injury of nerve root of sacral spine, sequela
  • S34.3 — Injury of cauda equina
  • S34.3XXA — Injury of cauda equina, initial encounter
  • S34.3XXD — Injury of cauda equina, subsequent encounter
  • S34.3XXS — Injury of cauda equina, sequela
  • S34.4 — Injury of lumbosacral plexus
  • S34.4XXA — Injury of lumbosacral plexus, initial encounter
  • S34.4XXD — Injury of lumbosacral plexus, subsequent encounter
  • S34.4XXS — Injury of lumbosacral plexus, sequela
  • S34.5 — Injury of lumbar, sacral and pelvic sympathetic nerves
  • S34.5XXA — Injury of lumbar, sacral and pelvic sympathetic nerves, initial encounter
  • S34.5XXD — Injury of lumbar, sacral and pelvic sympathetic nerves, subsequent encounter
  • S34.5XXS — Injury of lumbar, sacral and pelvic sympathetic nerves, sequela
  • S34.6 — Injury of peripheral nerve(s) at abdomen, lower back and pelvis level
  • S34.6XXA — Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, initial encounter
  • S34.6XXD — Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, subsequent encounter
  • S34.6XXS — Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, sequela
  • S34.8 — Injury of other nerves at abdomen, lower back and pelvis level
  • S34.8XXA — Injury of other nerves at abdomen, lower back and pelvis level, initial encounter
  • S34.8XXD — Injury of other nerves at abdomen, lower back and pelvis level, subsequent encounter
  • S34.8XXS — Injury of other nerves at abdomen, lower back and pelvis level, sequela
  • S34.9 — Injury of unspecified nerves at abdomen, lower back and pelvis level
  • S34.9XXA — Injury of unspecified nerves at abdomen, lower back and pelvis level, initial encounter
  • S34.9XXD — Injury of unspecified nerves at abdomen, lower back and pelvis level, subsequent encounter
  • S34.9XXS — Injury of unspecified nerves at abdomen, lower back and pelvis level, sequela