ICD-10-CM Book 2026 Edition

Chapters  /  Chapter 19  /  S30-S39  /  S32
S32 Fracture of lumbar spine and pelvis
Notes 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
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
CodeFirst any associated spinal cord and spinal nerve injury (S34.-)
Excludes1 transection of abdomen (S38.3)
Excludes2 fracture of hip NOS (S72.0-)
char7Note The appropriate 7th character is to be added to each code from category S32
char7Def 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
S32.0 Fracture of lumbar vertebra
Fracture of lumbar spine NOS
S32.00 Fracture of unspecified lumbar vertebra
S32.000 Wedge compression fracture of unspecified lumbar vertebra
S32.001 Stable burst fracture of unspecified lumbar vertebra
S32.002 Unstable burst fracture of unspecified lumbar vertebra
S32.008 Other fracture of unspecified lumbar vertebra
S32.009 Unspecified fracture of unspecified lumbar vertebra
S32.01 Fracture of first lumbar vertebra
S32.010 Wedge compression fracture of first lumbar vertebra
S32.011 Stable burst fracture of first lumbar vertebra
S32.012 Unstable burst fracture of first lumbar vertebra
S32.018 Other fracture of first lumbar vertebra
S32.019 Unspecified fracture of first lumbar vertebra
S32.02 Fracture of second lumbar vertebra
S32.020 Wedge compression fracture of second lumbar vertebra
S32.021 Stable burst fracture of second lumbar vertebra
S32.022 Unstable burst fracture of second lumbar vertebra
S32.028 Other fracture of second lumbar vertebra
S32.029 Unspecified fracture of second lumbar vertebra
S32.03 Fracture of third lumbar vertebra
S32.030 Wedge compression fracture of third lumbar vertebra
S32.031 Stable burst fracture of third lumbar vertebra
S32.032 Unstable burst fracture of third lumbar vertebra
S32.038 Other fracture of third lumbar vertebra
S32.039 Unspecified fracture of third lumbar vertebra
S32.04 Fracture of fourth lumbar vertebra
S32.040 Wedge compression fracture of fourth lumbar vertebra
S32.041 Stable burst fracture of fourth lumbar vertebra
S32.042 Unstable burst fracture of fourth lumbar vertebra
S32.048 Other fracture of fourth lumbar vertebra
S32.049 Unspecified fracture of fourth lumbar vertebra
S32.05 Fracture of fifth lumbar vertebra
S32.050 Wedge compression fracture of fifth lumbar vertebra
S32.051 Stable burst fracture of fifth lumbar vertebra
S32.052 Unstable burst fracture of fifth lumbar vertebra
S32.058 Other fracture of fifth lumbar vertebra
S32.059 Unspecified fracture of fifth lumbar vertebra
S32.1 Fracture of sacrum
For vertical fractures, code to most medial fracture extension
Use two codes if both a vertical and transverse fracture are present
CodeAlso any associated fracture of pelvic ring (S32.8-)
S32.10 Unspecified fracture of sacrum
S32.11 Zone I fracture of sacrum
Vertical sacral ala fracture of sacrum
S32.110 Nondisplaced Zone I fracture of sacrum
S32.111 Minimally displaced Zone I fracture of sacrum
S32.112 Severely displaced Zone I fracture of sacrum
S32.119 Unspecified Zone I fracture of sacrum
S32.12 Zone II fracture of sacrum
Vertical foraminal region fracture of sacrum
S32.120 Nondisplaced Zone II fracture of sacrum
S32.121 Minimally displaced Zone II fracture of sacrum
S32.122 Severely displaced Zone II fracture of sacrum
S32.129 Unspecified Zone II fracture of sacrum
S32.13 Zone III fracture of sacrum
Vertical fracture into spinal canal region of sacrum
S32.130 Nondisplaced Zone III fracture of sacrum
S32.131 Minimally displaced Zone III fracture of sacrum
S32.132 Severely displaced Zone III fracture of sacrum
S32.139 Unspecified Zone III fracture of sacrum
S32.14 Type 1 fracture of sacrum
Transverse flexion fracture of sacrum without displacement
S32.15 Type 2 fracture of sacrum
Transverse flexion fracture of sacrum with posterior displacement
S32.16 Type 3 fracture of sacrum
Transverse extension fracture of sacrum with anterior displacement
S32.17 Type 4 fracture of sacrum
Transverse segmental comminution of upper sacrum
S32.19 Other fracture of sacrum
S32.2 Fracture of coccyx
S32.3 Fracture of ilium
Excludes1 fracture of ilium with associated disruption of pelvic ring (S32.8-)
S32.30 Unspecified fracture of ilium
S32.301 Unspecified fracture of right ilium
S32.302 Unspecified fracture of left ilium
S32.309 Unspecified fracture of unspecified ilium
S32.31 Avulsion fracture of ilium
S32.311 Displaced avulsion fracture of right ilium
S32.312 Displaced avulsion fracture of left ilium
S32.313 Displaced avulsion fracture of unspecified ilium
S32.314 Nondisplaced avulsion fracture of right ilium
S32.315 Nondisplaced avulsion fracture of left ilium
S32.316 Nondisplaced avulsion fracture of unspecified ilium
S32.39 Other fracture of ilium
S32.391 Other fracture of right ilium
S32.392 Other fracture of left ilium
S32.399 Other fracture of unspecified ilium
S32.4 Fracture of acetabulum
CodeAlso any associated fracture of pelvic ring (S32.8-)
S32.40 Unspecified fracture of acetabulum
S32.401 Unspecified fracture of right acetabulum
S32.402 Unspecified fracture of left acetabulum
S32.409 Unspecified fracture of unspecified acetabulum
S32.41 Fracture of anterior wall of acetabulum
S32.411 Displaced fracture of anterior wall of right acetabulum
S32.412 Displaced fracture of anterior wall of left acetabulum
S32.413 Displaced fracture of anterior wall of unspecified acetabulum
S32.414 Nondisplaced fracture of anterior wall of right acetabulum
S32.415 Nondisplaced fracture of anterior wall of left acetabulum
S32.416 Nondisplaced fracture of anterior wall of unspecified acetabulum
S32.42 Fracture of posterior wall of acetabulum
S32.421 Displaced fracture of posterior wall of right acetabulum
S32.422 Displaced fracture of posterior wall of left acetabulum
S32.423 Displaced fracture of posterior wall of unspecified acetabulum
S32.424 Nondisplaced fracture of posterior wall of right acetabulum
S32.425 Nondisplaced fracture of posterior wall of left acetabulum
S32.426 Nondisplaced fracture of posterior wall of unspecified acetabulum
S32.43 Fracture of anterior column [iliopubic] of acetabulum
S32.431 Displaced fracture of anterior column [iliopubic] of right acetabulum
S32.432 Displaced fracture of anterior column [iliopubic] of left acetabulum
S32.433 Displaced fracture of anterior column [iliopubic] of unspecified acetabulum
S32.434 Nondisplaced fracture of anterior column [iliopubic] of right acetabulum
S32.435 Nondisplaced fracture of anterior column [iliopubic] of left acetabulum
S32.436 Nondisplaced fracture of anterior column [iliopubic] of unspecified acetabulum
S32.44 Fracture of posterior column [ilioischial] of acetabulum
S32.441 Displaced fracture of posterior column [ilioischial] of right acetabulum
S32.442 Displaced fracture of posterior column [ilioischial] of left acetabulum
S32.443 Displaced fracture of posterior column [ilioischial] of unspecified acetabulum
S32.444 Nondisplaced fracture of posterior column [ilioischial] of right acetabulum
S32.445 Nondisplaced fracture of posterior column [ilioischial] of left acetabulum
S32.446 Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum
S32.45 Transverse fracture of acetabulum
S32.451 Displaced transverse fracture of right acetabulum
S32.452 Displaced transverse fracture of left acetabulum
S32.453 Displaced transverse fracture of unspecified acetabulum
S32.454 Nondisplaced transverse fracture of right acetabulum
S32.455 Nondisplaced transverse fracture of left acetabulum
S32.456 Nondisplaced transverse fracture of unspecified acetabulum
S32.46 Associated transverse-posterior fracture of acetabulum
S32.461 Displaced associated transverse-posterior fracture of right acetabulum
S32.462 Displaced associated transverse-posterior fracture of left acetabulum
S32.463 Displaced associated transverse-posterior fracture of unspecified acetabulum
S32.464 Nondisplaced associated transverse-posterior fracture of right acetabulum
S32.465 Nondisplaced associated transverse-posterior fracture of left acetabulum
S32.466 Nondisplaced associated transverse-posterior fracture of unspecified acetabulum
S32.47 Fracture of medial wall of acetabulum
S32.471 Displaced fracture of medial wall of right acetabulum
S32.472 Displaced fracture of medial wall of left acetabulum
S32.473 Displaced fracture of medial wall of unspecified acetabulum
S32.474 Nondisplaced fracture of medial wall of right acetabulum
S32.475 Nondisplaced fracture of medial wall of left acetabulum
S32.476 Nondisplaced fracture of medial wall of unspecified acetabulum
S32.48 Dome fracture of acetabulum
S32.481 Displaced dome fracture of right acetabulum
S32.482 Displaced dome fracture of left acetabulum
S32.483 Displaced dome fracture of unspecified acetabulum
S32.484 Nondisplaced dome fracture of right acetabulum
S32.485 Nondisplaced dome fracture of left acetabulum
S32.486 Nondisplaced dome fracture of unspecified acetabulum
S32.49 Other specified fracture of acetabulum
S32.491 Other specified fracture of right acetabulum
S32.492 Other specified fracture of left acetabulum
S32.499 Other specified fracture of unspecified acetabulum
S32.5 Fracture of pubis
Excludes1 fracture of pubis with associated disruption of pelvic ring (S32.8-)
S32.50 Unspecified fracture of pubis
S32.501 Unspecified fracture of right pubis
S32.502 Unspecified fracture of left pubis
S32.509 Unspecified fracture of unspecified pubis
S32.51 Fracture of superior rim of pubis
S32.511 Fracture of superior rim of right pubis
S32.512 Fracture of superior rim of left pubis
S32.519 Fracture of superior rim of unspecified pubis
S32.59 Other specified fracture of pubis
S32.591 Other specified fracture of right pubis
S32.592 Other specified fracture of left pubis
S32.599 Other specified fracture of unspecified pubis
S32.6 Fracture of ischium
Excludes1 fracture of ischium with associated disruption of pelvic ring (S32.8-)
S32.60 Unspecified fracture of ischium
S32.601 Unspecified fracture of right ischium
S32.602 Unspecified fracture of left ischium
S32.609 Unspecified fracture of unspecified ischium
S32.61 Avulsion fracture of ischium
S32.611 Displaced avulsion fracture of right ischium
S32.612 Displaced avulsion fracture of left ischium
S32.613 Displaced avulsion fracture of unspecified ischium
S32.614 Nondisplaced avulsion fracture of right ischium
S32.615 Nondisplaced avulsion fracture of left ischium
S32.616 Nondisplaced avulsion fracture of unspecified ischium
S32.69 Other specified fracture of ischium
S32.691 Other specified fracture of right ischium
S32.692 Other specified fracture of left ischium
S32.699 Other specified fracture of unspecified ischium
S32.8 Fracture of other parts of pelvis
CodeAlso any associated:
fracture of acetabulum (S32.4-)
sacral fracture (S32.1-)
S32.81 Multiple fractures of pelvis with disruption of pelvic ring
Multiple pelvic fractures with disruption of pelvic circle
S32.810 Multiple fractures of pelvis with stable disruption of pelvic ring
S32.811 Multiple fractures of pelvis with unstable disruption of pelvic ring
S32.82 Multiple fractures of pelvis without disruption of pelvic ring
Multiple pelvic fractures without disruption of pelvic circle
S32.89 Fracture of other parts of pelvis
S32.9 Fracture of unspecified parts of lumbosacral spine and pelvis
Fracture of lumbosacral spine NOS
Fracture of pelvis NOS