S32.811B Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for open fracture

Billable ICD-10-CM code, FY2026.

Built from S32.811 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 S32.8 Fracture of other parts of pelvis

Code also

• any associated:
• fracture of acetabulum (S32.4-)
• sacral fracture (S32.1-)

Applies from S32.81 Multiple fractures of pelvis with disruption of pelvic ring

Applicable to

• Multiple pelvic fractures with disruption of pelvic circle

Risk adjustment (HCC)

• CMS-HCC V28: HCC 402 — Hip Fracture/Dislocation
• CMS-HCC V22: HCC 170 — Hip Fracture/Dislocation
• ESRD V24: HCC 170

Code annotations containing back-references to S32.811B

Back-references to S32.8

• Code Also: S32.1 Fracture of sacrum ("any associated fracture of pelvic ring (S32.8-)")
• Type 1 Excludes: S32.3 Fracture of ilium ("fracture of ilium with associated disruption of pelvic ring (S32.8-)")
• Code Also: S32.4 Fracture of acetabulum ("any associated fracture of pelvic ring (S32.8-)")
• Type 1 Excludes: S32.5 Fracture of pubis ("fracture of pubis with associated disruption of pelvic ring (S32.8-)")
• Type 1 Excludes: S32.6 Fracture of ischium ("fracture of ischium with associated disruption of pelvic ring (S32.8-)")

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 S32.811B

• Disruption (of) › pelvic ring (stable) › unstable

Nearby codes

• S32.810G Multiple fractures of pelvis with stable disruption of pelvic ring, subsequent encounter for fracture with delayed healing
• S32.810K Multiple fractures of pelvis with stable disruption of pelvic ring, subsequent encounter for fracture with nonunion
• S32.810S Multiple fractures of pelvis with stable disruption of pelvic ring, sequela
• S32.811 Multiple fractures of pelvis with unstable disruption of pelvic ring
• S32.811A Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for closed fracture
• S32.811B Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for open fracture (this code)
• S32.811D Multiple fractures of pelvis with unstable disruption of pelvic ring, subsequent encounter for fracture with routine healing
• S32.811G Multiple fractures of pelvis with unstable disruption of pelvic ring, subsequent encounter for fracture with delayed healing
• S32.811K Multiple fractures of pelvis with unstable disruption of pelvic ring, subsequent encounter for fracture with nonunion
• S32.811S Multiple fractures of pelvis with unstable disruption of pelvic ring, sequela
• S32.82 Multiple fractures of pelvis without disruption of pelvic ring