S32.018D — Other fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing
Is S32.018D billable?
Yes — S32.018D is billable for FY2027. S32.018D is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S32.018D may be submitted for encounters from October 1, 2026 through September 30, 2027.
S32.018D at a glance
| Code | S32.018D |
|---|---|
| Description | Other fracture of first lumbar vertebra, subsequent encounter for fracture with routine healing |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter for fracture with routine healing |
What does the 7th character "D" mean in S32.018D?
In S32.018D, the 7th character D means subsequent encounter for fracture with routine healing. The 7th character is required for S32.018D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S32.018D group to?
S32.018D sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
- 560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
- 561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical
How is S32.018D listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S32.018, the nearest indexed parent of S32.018D. Use them to find the family, then select the specific code.
- Fracture, traumatic › vertebra, vertebral › lumbar › first › specified type NEC (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S32
The conditions below can never be reported together with S32.018D on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- transection of abdomen (S38.3)
Code first — inherited from S32
The underlying condition below must be sequenced before S32.018D. S32.018D describes a manifestation and cannot be the principal or first-listed diagnosis.
- any associated spinal cord and spinal nerve injury (S34.-)
Use additional code — inherited from Chapter 19
Report an additional code alongside S32.018D to fully describe the condition. S32.018D is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S32.018D, but a patient may have both at the same time. When documentation supports it, S32.018D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S30-S39
The conditions below are not part of S32.018D, but a patient may have both at the same time. When documentation supports it, S32.018D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S32
The conditions below are not part of S32.018D, but a patient may have both at the same time. When documentation supports it, S32.018D and the excluded code may both be reported.
- fracture of hip NOS (S72.0-)
How long has S32.018D existed?
S32.018D has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.