S34 ICD-10-CM Code: Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level
S34 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)
S34
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceInjury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for S34. Check the code and parent instructions in the Code Book.
Excludes 2
Official- birth trauma (P10-P15)Inherited from S00-T88, S30-S39
- obstetric trauma (O70-O71)Inherited from S00-T88, S30-S39
- burns and corrosions (T20-T32)Inherited from S00-T88, S30-S39
- effects of foreign body in anus and rectum (T18.5)Inherited from S00-T88, S30-S39
- effects of foreign body in genitourinary tract (T19.-)Inherited from S00-T88, S30-S39
- effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)Inherited from S00-T88, S30-S39
- frostbite (T33-T34)Inherited from S00-T88, S30-S39
- insect bite or sting, venomous (T63.4)Inherited from S00-T88, S30-S39
Related Codes
Includes
Official- injuries to the abdominal wallInherited from S30-S39
- injuries to the anusInherited from S30-S39
- injuries to the buttockInherited from S30-S39
- injuries to the external genitaliaInherited from S30-S39
- injuries to the flankInherited from S30-S39
- injuries to the groinInherited from S30-S39
Excludes 1
OfficialNo Excludes 1 notes are included in this display for S34. Check the code and parent instructions in the Code Book.
Code First
OfficialNo Code First sequencing instructions are included in this display for S34. Check the code and parent instructions in the Code Book.
Use Additional
Official- code to identify any retained foreign body, if applicable (Z18.-)Inherited from S00-T88
Code Also
Official- any associated:
- fracture of vertebra (S22.0-, S32.0-)
- open wound of abdomen, lower back and pelvis (S31.-)
- transient paralysis (R29.5)
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- S34
- Description
- Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
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What This Code Means
S34 is the ICD-10-CM diagnosis code for injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level. S34 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (s30-s39).
Header codes like S34 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for S34 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.