S33.9XXS — Sprain of unspecified parts of lumbar spine and pelvis, sequela
S33.9XXS is a billable, specific ICD-10-CM code for sprain of unspecified parts of lumbar spine and pelvis, sequela. It is valid for submission on a claim.
7th character "S" — sequela
The appropriate 7th character is to be added to each code from category S33
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S33.9XXS does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S33.9XXS is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
S33.9XXS has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share S33.9. If S33.9XXS is not quite right, the correct code is usually one of these.
Questions about S33.9XXS
- Is S33.9XXS a billable ICD-10-CM code?
- Yes. S33.9XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S33.9XXS sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).