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ICD-10 Guide
ICD-10 CodesS32.00

S32.00

Billable

Fracture of unspecified lumbar vertebra

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/23/2025

Code Description

ICD-10 S32.00 is a billable code used to indicate a diagnosis of fracture of unspecified lumbar vertebra.

Key Diagnostic Point:

The S32.00 code refers to a fracture of an unspecified lumbar vertebra, which is a common injury resulting from trauma, falls, or accidents. Lumbar vertebrae are the five vertebrae located in the lower back, and fractures in this area can lead to significant pain, mobility issues, and potential complications such as nerve damage or spinal instability. The diagnosis of an unspecified lumbar vertebra fracture typically arises in emergency settings where imaging studies, such as X-rays or CT scans, may not specify the exact vertebra involved. Patients may present with symptoms including localized back pain, tenderness, and limited range of motion. In cases of severe trauma, associated injuries may include abdominal trauma, pelvic injuries, or genitourinary injuries, necessitating a comprehensive evaluation. Emergency surgical interventions may be required in cases of instability or neurological compromise. Accurate coding is essential for appropriate treatment planning and reimbursement, as well as for tracking outcomes in trauma care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of fractures
  • Need for precise documentation of trauma mechanisms
  • Potential for associated injuries requiring additional codes
  • Variability in imaging results and interpretations

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify associated injuries
  • Misinterpretation of imaging results
  • Inconsistent clinical notes regarding pain and mobility

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed documentation of the mechanism of injury, imaging results, and any associated injuries.

Common Clinical Scenarios

Patients presenting with acute back pain following trauma, falls, or motor vehicle accidents.

Billing Considerations

Ensure that all relevant imaging studies are documented and that any surgical interventions are clearly noted.

Orthopedic Surgery

Documentation Requirements

Comprehensive surgical notes detailing the procedure performed, indications for surgery, and post-operative care.

Common Clinical Scenarios

Patients requiring surgical intervention for unstable fractures or those with neurological deficits.

Billing Considerations

Document the specific vertebra involved if known, and any additional procedures performed.

Coding Guidelines

Inclusion Criteria

Use S32.00 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used appropriately based on the clinical documentation
  • Include any associated injuries and specify if the fracture is open or closed when applicable

Exclusion Criteria

Do NOT use S32.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Percutaneous vertebroplasty

Clinical Scenario

Used in cases of vertebral compression fractures when conservative treatment fails.

Documentation Requirements

Document the indication for the procedure, imaging results, and patient consent.

Specialty Considerations

Orthopedic surgeons should ensure that the procedure is justified based on the patient's clinical presentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lumbar fractures, improving the granularity of data for treatment outcomes and reimbursement. S32.00 serves as a catch-all for unspecified cases, emphasizing the need for thorough documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lumbar fractures, improving the granularity of data for treatment outcomes and reimbursement. S32.00 serves as a catch-all for unspecified cases, emphasizing the need for thorough documentation.

Reimbursement & Billing Impact

reimbursement. S32.00 serves as a catch-all for unspecified cases, emphasizing the need for thorough documentation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use S32.00 instead of a specific lumbar vertebra code?

Use S32.00 when the specific lumbar vertebra involved in the fracture is not documented or cannot be determined from imaging studies.