S32.112B Severely displaced Zone I fracture of sacrum, initial encounter for open fracture

Billable ICD-10-CM code, FY2026.

Built from S32.112 with 7th character B (initial encounter for open fracture).

Applies from S32 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

Excludes1 (never code together)

• transection of abdomen (S38.3)

Excludes2 (not included here)

• 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

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

7th character required

• 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

Applies from S32.1 Fracture of sacrum

Applicable to

• For vertical fractures, code to most medial fracture extension
• Use two codes if both a vertical and transverse fracture are present

Code also

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

Applies from S32.11 Zone I fracture of sacrum

Applicable to

• Vertical sacral ala fracture of sacrum

Risk adjustment (HCC)

• CMS-HCC V28: HCC 401 — Vertebral Fractures without Spinal Cord Injury
• CMS-HCC V22: HCC 169 — Vertebral Fractures without Spinal Cord Injury
• ESRD V24: HCC 169

Code annotations containing back-references to S32.112B

Back-references to S32.1

• Type 2 Excludes: S31 Open wound of abdomen, lower back, pelvis and external genitals ("open fracture of pelvis (S32.1--S32.9 with 7th character B)")
• Code Also: S32.8 Fracture of other parts of pelvis ("sacral fracture (S32.1-)")

Back-references to S32

• Type 1 Excludes: M48.5 Collapsed vertebra, not elsewhere classified ("traumatic fracture of vertebra (S12.-, S22.-, S32.-)")
• Type 1 Excludes: M84.3 Stress fracture ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
• Type 1 Excludes: M84.4 Pathological fracture, not elsewhere classified ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
• Use Additional: S38.1 Crushing injury of abdomen, lower back, and pelvis ("fracture of thoracic or lumbar spine and pelvis (S22.0-, S32.-)")

Diagnosis Index entries for S32.112B

• Fracture, traumatic (abduction) (adduction) (separation) › sacrum › Zone › I › displaced (minimally) › severely
• Fracture, traumatic (abduction) (adduction) (separation) › vertebra, vertebral (arch) (body) (column) (neural arch) (pedicle) (spinous process) (transverse process) › sacrum › Zone › I › displaced (minimally) › severely

Nearby codes

• S32.111G Minimally displaced Zone I fracture of sacrum, subsequent encounter for fracture with delayed healing
• S32.111K Minimally displaced Zone I fracture of sacrum, subsequent encounter for fracture with nonunion
• S32.111S Minimally displaced Zone I fracture of sacrum, sequela
• S32.112 Severely displaced Zone I fracture of sacrum
• S32.112A Severely displaced Zone I fracture of sacrum, initial encounter for closed fracture
• S32.112B Severely displaced Zone I fracture of sacrum, initial encounter for open fracture (this code)
• S32.112D Severely displaced Zone I fracture of sacrum, subsequent encounter for fracture with routine healing
• S32.112G Severely displaced Zone I fracture of sacrum, subsequent encounter for fracture with delayed healing
• S32.112K Severely displaced Zone I fracture of sacrum, subsequent encounter for fracture with nonunion
• S32.112S Severely displaced Zone I fracture of sacrum, sequela
• S32.119 Unspecified Zone I fracture of sacrum