ICDcodes.org
FY2027

S32.049D — Unspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing

BillableUnspecified

Is S32.049D billable?

Yes, but S32.049D is an unspecified code. S32.049D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S32.049D is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S32.049D — the more specific alternatives are listed below.

S32.049D at a glance

CodeS32.049D
DescriptionUnspecified fracture of fourth lumbar vertebra, subsequent encounter for fracture with routine healing
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "D"subsequent encounter for fracture with routine healing

What does the 7th character "D" mean in S32.049D?

In S32.049D, the 7th character D means subsequent encounter for fracture with routine healing. The 7th character is required for S32.049D to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S32.049D group to?

S32.049D 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 S32.049D listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S32.049, the nearest indexed parent of S32.049D. Use them to find the family, then select the specific code.

  • Fracture, traumatic › vertebra, vertebral › lumbar › fourth (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S32

The conditions below can never be reported together with S32.049D 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 S32.049D. S32.049D 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 S32.049D to fully describe the condition. S32.049D 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 S32.049D, but a patient may have both at the same time. When documentation supports it, S32.049D and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S30-S39

The conditions below are not part of S32.049D, but a patient may have both at the same time. When documentation supports it, S32.049D and the excluded code may both be reported.

  • burns and corrosions (T20-T32)
  • effects of foreign body in anus and rectum (T18.5)
  • effects of foreign body in genitourinary tract (T19.-)
  • effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
  • frostbite (T33-T34)
  • insect bite or sting, venomous (T63.4)

Excludes2 — not included here — inherited from S32

The conditions below are not part of S32.049D, but a patient may have both at the same time. When documentation supports it, S32.049D and the excluded code may both be reported.

How long has S32.049D existed?

S32.049D 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.