S33.4XXA — Traumatic rupture of symphysis pubis, initial encounter
Is S33.4XXA billable?
Yes — S33.4XXA is billable for FY2027. S33.4XXA is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S33.4XXA may be submitted for encounters from October 1, 2026 through September 30, 2027.
S33.4XXA at a glance
| Code | S33.4XXA |
|---|---|
| Description | Traumatic rupture of symphysis pubis, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in S33.4XXA?
In S33.4XXA, the 7th character A means initial encounter. The 7th character is required for S33.4XXA to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S33.4XXA group to?
S33.4XXA 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.
- 537Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh with CC/MCCmedical
- 538Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCCmedical
How is S33.4XXA listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S33.4, the nearest indexed parent of S33.4XXA. Use them to find the family, then select the specific code.
- Dislocation › symphysis pubis (articular)
- Rupture, ruptured › symphysis pubis › traumatic
- Rupture, ruptured › traumatic › symphysis pubis
Excludes1 — never code together — inherited from S33
The conditions below can never be reported together with S33.4XXA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from Chapter 19
Report an additional code alongside S33.4XXA to fully describe the condition. S33.4XXA 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 S33.4XXA, but a patient may have both at the same time. When documentation supports it, S33.4XXA and the excluded code may both be reported.
Excludes2 — not included here — inherited from S30-S39
The conditions below are not part of S33.4XXA, but a patient may have both at the same time. When documentation supports it, S33.4XXA and the excluded code may both be reported.
Excludes2 — not included here — inherited from S33
The conditions below are not part of S33.4XXA, but a patient may have both at the same time. When documentation supports it, S33.4XXA and the excluded code may both be reported.
Code also — inherited from S33
Two codes may be needed to describe the condition fully. Whether S33.4XXA is sequenced first depends on the reason for the encounter.
- any associated open wound
How long has S33.4XXA existed?
S33.4XXA 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.