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ICD-10/S34.5XXD

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.

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 lumbar, sacral and pelvic sympathetic nerves, subsequent encounter is a billable ICD-10-CM diagnosis code (S34.5D).

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

View all codes in the S34 family