Is S34.5XXA a billable ICD-10-CM code?

Yes. S34.5XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S34.5XXA 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).

S34.5XXA

S34.5XXA — Injury of lumbar, sacral and pelvic sympathetic nerves, initial encounter

Billable / specific codeICD-10-CM

S34.5XXA is a billable, specific ICD-10-CM code for injury of lumbar, sacral and pelvic sympathetic nerves, 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

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

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

Risk adjustment

S34.5XXA 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

S34.5XXA is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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)
A56619Billing and Coding: Nerve Conduction Studies and Electromyography

Code history

S34.5XXA 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 S34.5. If S34.5XXA is not quite right, the correct code is usually one of these.

Questions about S34.5XXA

Is S34.5XXA a billable ICD-10-CM code?: Yes. S34.5XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S34.5XXA 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).