S32.509B Unspecified fracture of unspecified pubis, initial encounter for open fracture
Billable ICD-10-CM code, FY2026.
Built from S32.509 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 S32.5 Fracture of pubis
Excludes1 (never code together)
fracture of pubis with associated disruption of pelvic ring (S32.8-)
Risk adjustment (HCC)
CMS-HCC V28: HCC 402 — Hip Fracture/Dislocation
CMS-HCC V22: HCC 170 — Hip Fracture/Dislocation
ESRD V24: HCC 170
Medicare Code Edits (MCE v43.1 (April 2026))
Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.
Code annotations containing back-references to S32.509B
Back-references to S32
Type 1 Excludes: M48.5 Collapsed vertebra, not elsewhere classified ("traumatic fracture of vertebra (S12.-, S22.-, S32.-)")