S34.5XXD ICD-10-CM Code: Injury of lumbar, sacral and pelvic sympathetic nerves, 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.
- MS-DRG 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
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 S34.5XXD 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
Inclusion Terms
Alternative terms the tabular list files under this code.
- Injury of celiac ganglion or plexus
- Injury of hypogastric plexus
- Injury of mesenteric plexus (inferior) (superior)
- Injury of splanchnic nerve
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 S34.5XXD 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 S34.5XXD in its code family, with their registry titles.
- 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
- S34.5XXS — 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