S32.811A

Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for closed fracture

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC402

Hip Fracture/Dislocation

CMS-HCC ESRD V24

HCC170

Hip Fracture/Dislocation

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

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

Multiple pelvic fractures with disruption of pelvic circle

Inherited from S32.8Fracture of other parts of pelvis
Code also

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

Inherited from S32Fracture 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

Excludes 1

transection of abdomen (S38.3)

Excludes 2

fracture of hip NOS (S72.0-)

Code first

any associated spinal cord and spinal nerve injury (S34.-)

7th character

The appropriate 7th character is to be added to each code from category S32

Valid 7th characters and their meanings
CharacterMeaning
Ainitial encounter for closed fracture
Binitial encounter for open fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Ssequela
Note

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

Inherited from S30-S39Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals
Includes

injuries to the abdominal wall injuries to the anus injuries to the buttock injuries to the external genitalia injuries to the flank injuries to the groin

Excludes 2

burns and corrosions (T20-T32) effects of foreign body in anus and rectum (T18.5) effects of foreign body in genitourinary tract (T19.-) effects of foreign body in stomach, small intestine and colon (T18.2-T18.4) frostbite (T33-T34) insect bite or sting, venomous (T63.4)

Inherited from chapter 19Injury, poisoning and certain other consequences of external causes
Excludes 2

birth trauma (P10-P15) obstetric trauma (O70-O71)

Use additional

code to identify any retained foreign body, if applicable (Z18.-)

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes. (T07-T88) Injury, poisoning and certain other consequences of external causes (T07-T88) (T20-T32) Burns and corrosions (T20-T32) Includes: burns (thermal) from electrical heating appliances burns (thermal) from electricity burns (thermal) from flame burns (thermal) from friction burns (thermal) from hot air and hot gases burns (thermal) from hot objects burns (thermal) from lightning burns (thermal) from radiation chemical burn [corrosion] (external) (internal) scalds Excludes2: erythema [dermatitis] ab igne (L59.0) radiation-related disorders of the skin and subcutaneous tissue (L55-L59) sunburn (L55.-)

Official Guidelines for S32.811A

FY 2026 ›
I.C.19Chapter-specific guidanceChapter 19: Injury, poisoning, and certain other consequences of external causes (S00-T88)

Subsections

Sections that reference S32.811A

Sections whose FY 2026 text names S32.811A, its S32 category, or a range containing it — the chapter guidance above is the authoritative source.