S34.02XA: Concussion and edema of sacral spinal cord, initial encounter

S34.02XA, concussion and edema of sacral spinal cord, initial encounter, is listed as a covered diagnosis in 7 Medicare billing and coding articles that apply to 4 HCPCS Level II codes, including G0127 (Trimming of dystrophic nails, any number), A9585 (Injection, gadobutrol, 0.1 ml), Q9953 (Injection, iron-based magnetic resonance contrast agent…). The articles come from 6 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 S34.02XA as a covered diagnosis

CodeDescriptionMedicare coverageDMEPOS fee 2026 (state range)Articles listing it
G0127Trimming of dystrophic nails, any numberSpecial coverage instructions apply—1
A9585Injection, gadobutrol, 0.1 mlCarrier judgment—1
Q9953Injection, iron-based magnetic resonance contrast agent, per mlSpecial coverage instructions apply—1
G0255Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerveNon-covered by MedicareNot covered5

Medicare policy articles listing S34.02XA

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 S34 diagnoses (Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level)

Frequently asked questions

Does Medicare cover S34.02XA (Concussion and edema of sacral spinal cord, initial…)?

Medicare covers items and services, not diagnoses. 7 Medicare billing and coding articles list S34.02XA as a covered diagnosis for 4 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 S34.02XA?

The Level II codes from the policies most specific to this diagnosis are G0127 (Trimming of dystrophic nails, any number, 1 article); A9585 (Injection, gadobutrol, 0.1 ml, 1 article); Q9953 (Injection, iron-based magnetic resonance contrast agent…, 1 article); G0255 (Current perception threshold/sensory nerve conduction…, 5 articles). Code choice depends on the item supplied; check each code's descriptor.

Which Medicare policy articles list S34.02XA?

A57188 (Billing and Coding: Routine Foot Care); A57307 (Billing and Coding: Nerve Conduction Studies and Electromyography); A57478 (Billing and Coding: Nerve Conduction Studies and Electromyography), and 4 more articles.

What is ICD-10-CM code S34.02XA?

S34.02XA is the ICD-10-CM code for concussion and edema of sacral spinal cord, initial encounter, in category S34 (Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level), chapter 19: Injury, poisoning and other consequences of external causes.

Next steps

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