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ICD-10/S34.21XD

S34.21XD ICD-10-CM Code: Injury of nerve root of lumbar spine, subsequent encounter

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.

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

Injury of nerve root of lumbar spine, subsequent encounter is a billable ICD-10-CM diagnosis code (S34.21D).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S34.21XD 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

Does S34.21XD require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S34.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S34.21XD in its code family, with their registry titles.

  • 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
  • S34.21XS — 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

View all codes in the S34 family