S34.104D
Unspecified injury to L4 level of lumbar spinal cord, subsequent encounter
HCC risk adjustment mapping
CMS-HCC V28
Spinal Cord Disorders/Injuries
CMS-HCC ESRD V24
Spinal Cord Disorders/Injuries
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
Unspecified injury to lumbar spinal cord level 4
any associated: fracture of vertebra (S22.0-, S32.0-) open wound of abdomen, lower back and pelvis (S31.-) transient paralysis (R29.5)
The appropriate 7th character is to be added to each code from category S34
| Character | Meaning |
|---|---|
| A | initial encounter |
| D | subsequent encounter |
| S | sequela |
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
code to identify any retained foreign body, if applicable (Z18.-)
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 S34.104D
FY 2026 ›Subsections
- I.C.19.aApplication of 7th Characters in Chapter 19
- I.C.19.bCoding of Injuries
- I.C.19.cCoding of Traumatic Fractures
- I.C.19.dCoding of Burns and Corrosions
- I.C.19.eAdverse Effects, Poisoning, Underdosing and Toxic Effects
- I.C.19.fAdult and child abuse, neglect and other maltreatment
- I.C.19.gComplications of care
Sections that reference S34.104D
Sections whose FY 2026 text names S34.104D, its S34 category, or a range containing it — the chapter guidance above is the authoritative source.