S34.139D Unspecified injury to sacral spinal cord, subsequent encounter

Billable ICD-10-CM code, FY2026.

Built from S34.139 with 7th character D (subsequent encounter).

Applies from S34 Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level

Code also

• any associated:
• fracture of vertebra (S22.0-, S32.0-)
• open wound of abdomen, lower back and pelvis (S31.-)
• transient paralysis (R29.5)

7th character note

• The appropriate 7th character is to be added to each code from category S34

Notes

• Code to highest level of lumbar cord injury
• Injuries to the spinal cord (S34.0 and S34.1) refer to the cord level and not bone level injury, and can affect nerve roots at and below the level given.

7th character required

• A — initial encounter
• D — subsequent encounter
• S — sequela

Applies from S34.13 Other and unspecified injury to sacral spinal cord

Applicable to

• Other injury to conus medullaris

Applies from S34.139 Unspecified injury to sacral spinal cord

Applicable to

• Unspecified injury of conus medullaris

Risk adjustment (HCC)

• CMS-HCC V28: HCC 182 — Spinal Cord Disorders/Injuries
• CMS-HCC V22: HCC 72 — Spinal Cord Disorders/Injuries
• ESRD V24: HCC 72

Code annotations containing back-references to S34.139D

Back-references to S34.1

• Code First: R29.5 Transient paralysis ("any associated spinal cord injury (S14.0, S14.1-, S24.0, S24.1-, S34.0-, S34.1-)")
• Code Also: S31 Open wound of abdomen, lower back, pelvis and external genitals ("spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-)")
• Code Also: S33.1 Subluxation and dislocation of lumbar vertebra ("spinal cord injury (S24.0, S24.1-, S34.0-, S34.1-)")
• Use Additional: S38.1 Crushing injury of abdomen, lower back, and pelvis ("spinal cord injury (S34.0, S34.1-)")

Back-references to S34

• Type 1 Excludes: G83.8 Other specified paralytic syndromes ("paralytic syndromes due to current spinal cord injury-code to spinal cord injury (S14, S24, S34)")
• Code First: S32 Fracture of lumbar spine and pelvis ("any associated spinal cord and spinal nerve injury (S34.-)")

Diagnosis Index entries for S34.139D

• Contusion (skin surface intact) › conus medullaris (spine)
• Contusion (skin surface intact) › spinal cord › conus medullaris
• Injury › spinal (cord) › sacral

Nearby codes

• S34.132A Incomplete lesion of sacral spinal cord, initial encounter
• S34.132D Incomplete lesion of sacral spinal cord, subsequent encounter
• S34.132S Incomplete lesion of sacral spinal cord, sequela
• S34.139 Unspecified injury to sacral spinal cord
• S34.139A Unspecified injury to sacral spinal cord, initial encounter
• S34.139D Unspecified injury to sacral spinal cord, subsequent encounter (this code)
• S34.139S Unspecified injury to sacral spinal cord, sequela
• S34.2 Injury of nerve root of lumbar and sacral spine
• S34.21 Injury of nerve root of lumbar spine
• S34.21XA Injury of nerve root of lumbar spine, initial encounter
• S34.21XD Injury of nerve root of lumbar spine, subsequent encounter