ICD-10-CM 2027 diagnosis code
S34.115DComplete lesion of L5 level of lumbar spinal cord, subsequent encounter
S34.115D is a valid, billable ICD-10-CM code for complete lesion of l5 level of lumbar spinal cord, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Complete lesion of L5 level of lumbar spinal cord, subs
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 S34.115D
S34.115D is the ICD-10-CM diagnosis code for complete lesion of L5 level of lumbar spinal cord, subsequent encounter. It belongs to category S34 (injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level), 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 "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.
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 949 (Aftercare with CC/MCC, relative weight 1.123) and DRG 950 (Aftercare without CC/MCC, relative weight 0.7664), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), 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 V58.89 (other specified aftercare).
7th character
Dsubsequent encounter
CC/MCC status for this injury by encounter: MCC for A; Neither CC nor MCC for D, S.
Other encounter types for S34.115:
Notes that apply from higher levels
Instructions written at a parent level also apply to S34.115D.
› From S34 Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level
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 23 · Factors Influencing Health Status and Other Contacts with Health Services
ICD-9-CM equivalent
Converter →- V58.89Other specified aftercareapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about S34.115D
Is S34.115D billable?
- Yes. S34.115D is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "D" at the end of S34.115D mean?
- It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.
Can S34.115D be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict S34.115D as a principal diagnosis.
Is S34.115D a CC or MCC?
- No. S34.115D is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does S34.115D group to?
- S34.115D is used in the MS-DRG v44.0 logic for MS-DRG 949 (Aftercare with CC/MCC) and MS-DRG 950 (Aftercare without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.