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ICD-10-CM 2027 diagnosis code

S32.14XSType 1 fracture of sacrum, sequela

✓ Billable / specificPOA exemptRequires 7th character

S32.14XS is a valid, billable ICD-10-CM code for type 1 fracture of sacrum, sequela. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S32.14XS

S32.14XS is the ICD-10-CM diagnosis code for type 1 fracture of sacrum, sequela. It belongs to category S32 (fracture of lumbar spine and pelvis), block S30-S39 (injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "S" means sequela: use it for complications or conditions that arise as a direct result of the original condition.

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

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 551 (Medical Back Problems with MCC, relative weight 1.6358) and DRG 552 (Medical Back Problems without MCC, relative weight 0.9584), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 905.1 (late effect of fracture of spine and trunk without mention of spinal cord lesion).

7th character

Ssequela

CC/MCC status for this injury by encounter: CC for A, K; MCC for B; Neither CC nor MCC for D, G, S.

Other encounter types for S32.14:

Notes that apply from higher levels

Instructions written at a parent level also apply to S32.14XS.

› From S32.1 Fracture of sacrum
Code also
  • any associated fracture of pelvic ring (S32.8-)
› From S32 Fracture of lumbar spine and pelvis
Note
  • 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
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
Excludes1
  • transection of abdomen (S38.3)
Excludes2
Code first
  • any associated spinal cord and spinal nerve injury (S34.-)

Broader instructions also apply from S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue

ICD-9-CM equivalent

Converter →
  • 905.1Late effect of fracture of spine and trunk without mention of spinal cord lesionapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S32.14XS

Is S32.14XS billable?

Yes. S32.14XS is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "S" at the end of S32.14XS mean?

It is the 7th character for sequela. Per the official guidelines, use it for complications or conditions that arise as a direct result of the original condition.

Can S32.14XS be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S32.14XS as a principal diagnosis.

Is S32.14XS a CC or MCC?

No. S32.14XS is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S32.14XS group to?

S32.14XS is used in the MS-DRG v44.0 logic for MS-DRG 551 (Medical Back Problems with MCC) and MS-DRG 552 (Medical Back Problems without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for S32.14XS?

The CMS General Equivalence Mappings map S32.14XS to ICD-9-CM 905.1.