Fracture of lumbar spine and pelvis

**Includes:** - fracture of lumbosacral neural arch - fracture of lumbosacral spinous process - fracture of lumbosacral transverse process - fracture of lumbosacral vertebra - fracture of lumbosacral vertebral arch

**Notes:** - A fracture not indicated as displaced or nondisplaced should be coded to displaced - A fracture not indicated as opened or closed should be coded to closed

**Excludes1:** - transection of abdomen (S38.3)

**Excludes2:** - fracture of hip NOS (S72.0-)

**Code first:** - any associated spinal cord and spinal nerve injury (S34.-)

**7th character note:** - The appropriate 7th character is to be added to each code from category S32

**7th character:** - A: initial encounter for closed fracture - B: initial encounter for open fracture - D: subsequent encounter for fracture with routine healing - G: subsequent encounter for fracture with delayed healing - K: subsequent encounter for fracture with nonunion - S: sequela