S34.4XXA — Injury of lumbosacral plexus, initial encounter
S34.4XXA is a billable, specific ICD-10-CM code for injury of lumbosacral plexus, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S34
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S34.4XXA 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
S34.4XXA is named in 17 Medicare coverage policies — 17 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
- A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Code history
S34.4XXA 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 S34.4. If S34.4XXA is not quite right, the correct code is usually one of these.
Questions about S34.4XXA
- Is S34.4XXA a billable ICD-10-CM code?
- Yes. S34.4XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S34.4XXA 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).