S32.16UpcomingCategory · further specificity required

Type 3 fracture of sacrum

Chapters 19 · Inherited instructions

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

S32 · Inherited instructions

Code first

any associated spinal cord and spinal nerve injury (S34.-)

Excludes 1

transection of abdomen (S38.3)

A — initial encounter for closed fracture

B — initial encounter for open fracture

D — subsequent encounter for fracture with routine healing

G — subsequent encounter for fracture with delayed healing

K — subsequent encounter for fracture with nonunion

S — sequela

S32.1 · Inherited instructions

Code also

any associated fracture of pelvic ring (S32.8-)

Excludes 2 · 9

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

S32 · Fracture of lumbar spine and pelvis

Excludes 2

fracture of hip NOS (S72.0-)

S30-S39 · Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)

Excludes 2

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)

More specific codes

S32.16XAType 3 fracture of sacrum, initial encounter for closed fracture S32.16XBType 3 fracture of sacrum, initial encounter for open fracture S32.16XDType 3 fracture of sacrum, subsequent encounter for fracture with routine healing S32.16XGType 3 fracture of sacrum, subsequent encounter for fracture with delayed healing S32.16XKType 3 fracture of sacrum, subsequent encounter for fracture with nonunion S32.16XSType 3 fracture of sacrum, sequela

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2025 · 04-01

ChangedUnchanged

FY2025 · 04-01

Effective from 2025-04-01

Inherited rules changed

Type 3 fracture of sacrum

Category — select a more specific code

CDC/NCHS · FY2025 · 04-01

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	Inherited rules changed
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Inclusion terms

Transverse extension fracture of sacrum with anterior displacement

Inherited instructions

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

S32 · Fracture of lumbar spine and pelvis

Includes

fracture of lumbosacral neural arch
fracture of lumbosacral spinous process
fracture of lumbosacral transverse process
fracture of lumbosacral vertebra
fracture of lumbosacral vertebral arch

Excludes 1

transection of abdomen (S38.3)

Excludes 2

fracture of hip NOS (S72.0-)

Code first

any associated spinal cord and spinal nerve injury (S34.-)

Note

A fracture not indicated as displaced or nondisplaced should be coded to displaced
A fracture not indicated as opened or closed should be coded to closed

Seventh character

The appropriate 7th character is to be added to each code from category S32

A — initial encounter for closed fracture

B — initial encounter for open fracture

D — subsequent encounter for fracture with routine healing

G — subsequent encounter for fracture with delayed healing

K — subsequent encounter for fracture with nonunion

S — sequela

S30-S39 · Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)

Includes

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

Excludes 2

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)

S32.1 · Fracture of sacrum

Inclusion terms

For vertical fractures, code to most medial fracture extension
Use two codes if both a vertical and transverse fracture are present

Code also

any associated fracture of pelvic ring (S32.8-)

More specific codes

S32.16XAType 3 fracture of sacrum, initial encounter for closed fractureBillable / specific S32.16XBType 3 fracture of sacrum, initial encounter for open fractureBillable / specific S32.16XDType 3 fracture of sacrum, subsequent encounter for fracture with routine healingBillable / specific S32.16XGType 3 fracture of sacrum, subsequent encounter for fracture with delayed healingBillable / specific S32.16XKType 3 fracture of sacrum, subsequent encounter for fracture with nonunionBillable / specific S32.16XSType 3 fracture of sacrum, sequelaBillable / specific

Official index references (2)

Fracture, traumatic(abduction) (adduction) (separation) (2)

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
S32.10	Unspecified fracture of sacrum	Category · further specificity required
S32.11	Zone I fracture of sacrum	Category · further specificity required
S32.12	Zone II fracture of sacrum	Category · further specificity required
S32.13	Zone III fracture of sacrum	Category · further specificity required
S32.14	Type 1 fracture of sacrum	Category · further specificity required
S32.15	Type 2 fracture of sacrum	Category · further specificity required
S32.17	Type 4 fracture of sacrum	Category · further specificity required
S32.19	Other fracture of sacrum	Category · further specificity required

Official titles and instructions are preserved in their source language. Official sources ↗

S32.16UpcomingCategory · further specificity required

Type 3 fracture of sacrum

Chapters 19 · Inherited instructions

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

S32 · Inherited instructions

Code first

any associated spinal cord and spinal nerve injury (S34.-)

Excludes 1

transection of abdomen (S38.3)

A — initial encounter for closed fracture

B — initial encounter for open fracture

D — subsequent encounter for fracture with routine healing

G — subsequent encounter for fracture with delayed healing

K — subsequent encounter for fracture with nonunion

S — sequela

S32.1 · Inherited instructions

Code also

any associated fracture of pelvic ring (S32.8-)

Excludes 2 · 9

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

S32 · Fracture of lumbar spine and pelvis

Excludes 2

fracture of hip NOS (S72.0-)

S30-S39 · Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)

Excludes 2

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)

More specific codes

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2025 · 04-01

ChangedUnchanged

FY2025 · 04-01

Effective from 2025-04-01

Inherited rules changed

Type 3 fracture of sacrum

Category — select a more specific code

CDC/NCHS · FY2025 · 04-01

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	Inherited rules changed
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Inclusion terms

Transverse extension fracture of sacrum with anterior displacement

Inherited instructions

Chapters 19 · Injury, poisoning and certain other consequences of external causes (S00-T88)

Excludes 2

birth trauma (P10-P15)
obstetric trauma (O70-O71)

Use additional code

code to identify any retained foreign body, if applicable (Z18.-)

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

S32 · Fracture of lumbar spine and pelvis

Includes

fracture of lumbosacral neural arch
fracture of lumbosacral spinous process
fracture of lumbosacral transverse process
fracture of lumbosacral vertebra
fracture of lumbosacral vertebral arch

Excludes 1

transection of abdomen (S38.3)

Excludes 2

fracture of hip NOS (S72.0-)

Code first

any associated spinal cord and spinal nerve injury (S34.-)

Note

A fracture not indicated as displaced or nondisplaced should be coded to displaced
A fracture not indicated as opened or closed should be coded to closed

Seventh character

The appropriate 7th character is to be added to each code from category S32

A — initial encounter for closed fracture

B — initial encounter for open fracture

D — subsequent encounter for fracture with routine healing

G — subsequent encounter for fracture with delayed healing

K — subsequent encounter for fracture with nonunion

S — sequela

S30-S39 · Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)

Includes

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

Excludes 2

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)

S32.1 · Fracture of sacrum

Inclusion terms

For vertical fractures, code to most medial fracture extension
Use two codes if both a vertical and transverse fracture are present

Code also

any associated fracture of pelvic ring (S32.8-)

More specific codes

Official index references (2)

Fracture, traumatic(abduction) (adduction) (separation) (2)

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
S32.10	Unspecified fracture of sacrum	Category · further specificity required
S32.11	Zone I fracture of sacrum	Category · further specificity required
S32.12	Zone II fracture of sacrum	Category · further specificity required
S32.13	Zone III fracture of sacrum	Category · further specificity required
S32.14	Type 1 fracture of sacrum	Category · further specificity required
S32.15	Type 2 fracture of sacrum	Category · further specificity required
S32.17	Type 4 fracture of sacrum	Category · further specificity required
S32.19	Other fracture of sacrum	Category · further specificity required

Official titles and instructions are preserved in their source language. Official sources ↗