S34.5 Injury of lumbar, sacral and pelvic sympathetic nerves

Non-billable ICD-10-CM code.

Applicable to

• Injury of celiac ganglion or plexus
• Injury of hypogastric plexus
• Injury of mesenteric plexus (inferior) (superior)
• Injury of splanchnic nerve

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

Code annotations containing back-references to S34.5

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 S34.5

• Injury › nerve NEC › lumbar spinal › sympathetic
• Injury › nerve NEC › lumbosacral › sympathetic
• Injury › nerve NEC › sacral spinal › sympathetic

Nearby codes

• S34.3XXS Injury of cauda equina, sequela
• S34.4 Injury of lumbosacral plexus
• S34.4XXA Injury of lumbosacral plexus, initial encounter
• S34.4XXD Injury of lumbosacral plexus, subsequent encounter
• S34.4XXS Injury of lumbosacral plexus, sequela
• S34.5 Injury of lumbar, sacral and pelvic sympathetic nerves (this code)
• S34.5XXA Injury of lumbar, sacral and pelvic sympathetic nerves, initial encounter
• S34.5XXD Injury of lumbar, sacral and pelvic sympathetic nerves, subsequent encounter
• S34.5XXS Injury of lumbar, sacral and pelvic sympathetic nerves, sequela
• S34.6 Injury of peripheral nerve(s) at abdomen, lower back and pelvis level
• S34.6XXA Injury of peripheral nerve(s) at abdomen, lower back and pelvis level, initial encounter