ICDcodes.org
FY2027

S32.491S — Other specified fracture of right acetabulum, sequela

BillableUnspecified

Is S32.491S billable?

Yes, but S32.491S is an unspecified code. S32.491S is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S32.491S 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 S32.491S — the more specific alternatives are listed below.

S32.491S at a glance

CodeS32.491S
DescriptionOther specified fracture of right acetabulum, sequela
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "S"sequela

What does the 7th character "S" mean in S32.491S?

In S32.491S, the 7th character S means sequela. The 7th character is required for S32.491S to be a valid, complete code.

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

Which MS-DRGs does S32.491S group to?

S32.491S sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 551Medical Back Problems with MCCmedical
  • 552Medical Back Problems without MCCmedical

How is S32.491S listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S32.49, the nearest indexed parent of S32.491S. Use them to find the family, then select the specific code.

  • Fracture, traumatic › acetabulum › specified NEC (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S32

The conditions below can never be reported together with S32.491S 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 S32.491S. S32.491S 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 S32.491S to fully describe the condition. S32.491S 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 S32.491S, but a patient may have both at the same time. When documentation supports it, S32.491S 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 S32.491S, but a patient may have both at the same time. When documentation supports it, S32.491S 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 S32.491S, but a patient may have both at the same time. When documentation supports it, S32.491S and the excluded code may both be reported.

Code also — inherited from S32.4

Two codes may be needed to describe the condition fully. Whether S32.491S is sequenced first depends on the reason for the encounter.

  • any associated fracture of pelvic ring (S32.8-)

How long has S32.491S existed?

S32.491S 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.