Dislocation of L4/L5 lumbar vertebra

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 3 more specific codes instead:

S33.141A Dislocation of L4/L5 lumbar vertebra, initial encounter
S33.141D Dislocation of L4/L5 lumbar vertebra, subsequent encounter
S33.141S Dislocation of L4/L5 lumbar vertebra, sequela

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2014 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2014 Added to the draft code set draft Dislocation of L4/L5 lumbar vertebra

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from S33 Dislocation and sprain of joints and ligaments of lumbar spine and pelvis

Seventh character required

The appropriate 7th character is to be added to each code from category S33

Excludes1 - never coded here

nontraumatic rupture or displacement of lumbar intervertebral disc NOS (M51.-)
obstetric damage to pelvic joints and ligaments (O71.6)

Excludes2 - not included here

dislocation and sprain of joints and ligaments of hip (S73.-)
strain of muscle of lower back and pelvis (S39.01-)

Code also

any associated open wound

Includes

avulsion of joint or ligament of lumbar spine and pelvis
laceration of cartilage, joint or ligament of lumbar spine and pelvis
sprain of cartilage, joint or ligament of lumbar spine and pelvis
traumatic hemarthrosis of joint or ligament of lumbar spine and pelvis
traumatic rupture of joint or ligament of lumbar spine and pelvis
traumatic subluxation of joint or ligament of lumbar spine and pelvis
traumatic tear of joint or ligament of lumbar spine and pelvis

Inherited from the S30-S39 section Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)

Excludes2 - not included here

burns and corrosions (T20-T32)
effects of foreign body in anus and rectum (T18.5)
effects of foreign body in genitourinary tract (T19.-)
effects of foreign body in stomach, small intestine and colon (T18.2-T18.4)
frostbite (T33-T34)
insect bite or sting, venomous (T63.4)

Includes

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

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Change > joint
Mushrooming hip
Change > hip joint
Dislocation > lumbar
Sequestration > disc
Dislocation > partial
Derangement > shoulder
Dislocation > incomplete
Dislocation > lumbosacral
Prolapse, prolapsed > disc
Dislocation > spine > lumbar
Herniation > nucleus pulposus
Disease, diseased > discogenic
Disorder > joint > derangement
Complex > jumped process, spine
Dislocation > thorax > vertebra
Extrusion > intervertebral disc
Dislocation > vertebra > partial
Hernia, hernial > nucleus pulposus
Dislocation > vertebra > nontraumatic
Hernia, hernial > cartilage, vertebra
Injury > thorax, thoracic > dislocation
Rupture, ruptured > intervertebral disc
Slipped, slipping > intervertebral disc
Protrusion, protrusio > nucleus pulposus
Prolapse, prolapsed > intervertebral disc
Protrusion, protrusio > intervertebral disc
Hernia, hernial > intervertebral cartilage or disc
Displacement, displaced > intervertebral disc NEC > due to trauma
Dislocation > vertebra > lumbar > joint between > L4 and L5

Codes in the same group

Code	Description	Status
S33.140	Subluxation of L4/L5 lumbar vertebra	Not billable