ICD-10 Guide

Fracture Of Pelvis

ICD-10 Coding for Fracture of Pelvis(S32.1XXA, S32.4XXA)

PRIMARY SPECIALTYOrthopedics

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Fracture Of Pelvis?

Essential facts and insights about Fracture of Pelvis

Key Clinical Considerations:

Pain in the pelvic region, difficulty walking, swelling or bruising in the groin area
X-rays showing fracture lines, CT scans for complex fractures, MRI for soft tissue evaluation
Tenderness over the pelvic area, limited range of motion, possible deformity or instability

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history including mechanism of injury, physical exam findings, imaging results
ICD-10-CM codes for specific fracture types (e.g., closed, open, stable, unstable)
Examples: 'Patient presents with a stable fracture of the left superior pubic ramus as confirmed by X-ray.'

Coding Guidelines

Usage Guidelines & Examples

Follow guidelines for distinguishing between closed and open fractures; avoid using unspecified codes when specific codes are available.
Common errors include misclassifying fracture type and not documenting the mechanism of injury.

Code Exclusions

Important Exclusions

Fractures of the acetabulum, fractures of the sacrum, coding for non-fracture pelvic injuries

Specialty Focus

Primary Specialty

Orthopedics

Specialty Applications

Adults and elderly populations, trauma patients, orthopedic surgical settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, imaging results, and treatment plan.

Billing considerations?

Ensure correct coding for fracture type and encounter; consider modifiers for surgical procedures.

Fracture Of Pelvis

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?

Fracture Of Pelvis

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?