Kodex

Section

S32.121

Minimally displaced Zone II fracture of sacrum

Hierarchy

S00-T88 Injury, poisoning and certain other consequences of external causes (S00-T88)
- S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
  - S32 Fracture of lumbar spine and pelvis
    - S32.1 Fracture of sacrum
      - S32.12 Zone II fracture of sacrum
        
        S32.121 Minimally displaced Zone II fracture of sacrum
        
        S32.121A initial encounter for closed fracture
        
        S32.121B initial encounter for open fracture
        
        S32.121D subsequent encounter for fracture with routine healing
        
        S32.121G subsequent encounter for fracture with delayed healing
        
        S32.121K subsequent encounter for fracture with nonunion
        
        S32.121S sequela

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

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.

Inclusion Terms

Vertical foraminal region fracture of sacrum

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

Code First

any associated spinal cord and spinal nerve injury (S34.-)
- S34 Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level

Code Also

any associated fracture of pelvic ring (S32.8-)
- S32.8 Fracture of other parts of pelvis

Use Additional

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

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

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 1

transection of abdomen (S38.3)
- S38.3 Transection (partial) of abdomen

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

Excludes 2

fracture of hip NOS (S72.0-)
- S72.0 Fracture of head and neck of femur

T20-T32 Burns and corrosions (T20-T32)
effects of foreign body in anus and rectum (T18.5)
- T18.5 Foreign body in anus and rectum
effects of foreign body in genitourinary tract (T19.-)
- T19 Foreign body in genitourinary tract
effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
T33-T34 Frostbite (T33-T34)
insect bite or sting, venomous (T63.4)
- T63.4 Toxic effect of venom of other arthropods