S32.312B: Displaced avulsion fracture of left ilium, initial encounter for open fracture
S32.312B, displaced avulsion fracture of left ilium, initial encounter for open fracture, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 10 HCPCS Level II codes, including A9585 (Injection, gadobutrol, 0.1 ml), Q9953 (Injection, iron-based magnetic resonance contrast agent…), G0283 (Electrical stimulation (unattended), to one or more areas…). The articles come from 2 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with S32.312B as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | Carrier judgment | — | 1 |
| Q9953 | Injection, iron-based magnetic resonance contrast agent, per ml | Special coverage instructions apply | — | 1 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | Carrier judgment | — | 1 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | Carrier judgment | — | 1 |
| G2250 | Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment | Carrier judgment | — | 1 |
| G0281 | Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care | Carrier judgment | — | 1 |
| G2251 | Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion | Carrier judgment | — | 1 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0329 | Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | Carrier judgment | — | 1 |
| S2900 | Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) | Not payable by Medicare | Not covered | 1 |
Medicare policy articles listing S32.312B
- A60250: Billing and Coding: Total Joint Arthroplasty (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33456, L36039, L39911, L40232
- A57206: Billing and Coding: Lumbar MRI (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B); 2 Level II codes). LCD with the same title: L34220
- A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC); 7 Level II codes). LCD with the same title: L33942
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other S32 diagnoses (Fracture of lumbar spine and pelvis)
- S32.312A — Displaced avulsion fracture of left ilium, initial encounter for…
- S32.311A — Displaced avulsion fracture of right ilium, initial encounter for…
- S32.311B — Displaced avulsion fracture of right ilium, initial encounter for…
- S32.314A — Nondisplaced avulsion fracture of right ilium, initial encounter for…
- S32.314B — Nondisplaced avulsion fracture of right ilium, initial encounter for…
- S32.315A — Nondisplaced avulsion fracture of left ilium, initial encounter for…
- S32.315B — Nondisplaced avulsion fracture of left ilium, initial encounter for…
- S32.009A — Unspecified fracture of unspecified lumbar vertebra, initial…
- S32.009B — Unspecified fracture of unspecified lumbar vertebra, initial…
- S32.010A — Wedge compression fracture of first lumbar vertebra, initial…
- S32.010B — Wedge compression fracture of first lumbar vertebra, initial…
- S32.011A — Stable burst fracture of first lumbar vertebra, initial encounter…
- S32.011B — Stable burst fracture of first lumbar vertebra, initial encounter…
- S32.012A — Unstable burst fracture of first lumbar vertebra, initial encounter…
- S32.012B — Unstable burst fracture of first lumbar vertebra, initial encounter…
- S32.018A — Other fracture of first lumbar vertebra, initial encounter for…
- S32.018B — Other fracture of first lumbar vertebra, initial encounter for open…
- S32.019A — Unspecified fracture of first lumbar vertebra, initial encounter for…
- S32.019B — Unspecified fracture of first lumbar vertebra, initial encounter for…
- S32.020A — Wedge compression fracture of second lumbar vertebra, initial…
- S32.020B — Wedge compression fracture of second lumbar vertebra, initial…
- S32.021A — Stable burst fracture of second lumbar vertebra, initial encounter…
- S32.021B — Stable burst fracture of second lumbar vertebra, initial encounter…
- S32.022A — Unstable burst fracture of second lumbar vertebra, initial encounter…
- S32.022B — Unstable burst fracture of second lumbar vertebra, initial encounter…
- S32.028A — Other fracture of second lumbar vertebra, initial encounter for…
- S32.028B — Other fracture of second lumbar vertebra, initial encounter for open…
- S32.029A — Unspecified fracture of second lumbar vertebra, initial encounter…
- S32.029B — Unspecified fracture of second lumbar vertebra, initial encounter…
- S32.030A — Wedge compression fracture of third lumbar vertebra, initial…
Frequently asked questions
Does Medicare cover S32.312B (Displaced avulsion fracture of left ilium, initial…)?
Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list S32.312B as a covered diagnosis for 10 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 S32.312B?
The Level II codes from the policies most specific to this diagnosis are A9585 (Injection, gadobutrol, 0.1 ml, 1 article); Q9953 (Injection, iron-based magnetic resonance contrast agent…, 1 article); G0283 (Electrical stimulation (unattended), to one or more areas…, 1 article); G2010 (Remote evaluation of recorded video and/or images…, 1 article); G2250 (Remote assessment of recorded video and/or images…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list S32.312B?
A60250 (Billing and Coding: Total Joint Arthroplasty); A57206 (Billing and Coding: Lumbar MRI); A57311 (Billing and Coding: Physical Therapy - Home Health).
What is ICD-10-CM code S32.312B?
S32.312B is the ICD-10-CM code for displaced avulsion fracture of left ilium, initial encounter for open fracture, in category S32 (Fracture of lumbar spine and pelvis), chapter 19: Injury, poisoning and other consequences of external causes.
Next steps
- Run a reimbursement report for a device billed under A9585
- Watch A9585 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9585
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 19: Injury, poisoning and other consequences of external causes · All diagnoses · HCPCS lookup