S32.111A Minimally displaced Zone I fracture of sacrum, initial encounter for closed fracture

ICD-10-CM S32.111A: Minimally displaced Zone I fracture of sacrum, initial encounter for closed fracture

ICD-10-CM code S32.111A identifies a minimally displaced Zone I fracture of the sacrum during an initial encounter for a closed fracture. It is a billable diagnosis that maps to Vertebral Fractures without Spinal Cord Injury under the CMS-HCC V28 risk adjustment model. The provided clinical literature discusses sacral fractures broadly but does not establish treatment guidelines for this specific code. 3 4 5

Plain-language overview

Code S32.111A describes a specific diagnosis of a minimally displaced Zone I fracture of the sacrum during the initial encounter for a closed fracture, providing a standardized way to document this particular injury for patients and clinicians. 3

What this code represents

The code S32.111A is a billable diagnosis code that maps to Vertebral Fractures without Spinal Cord Injury under the CMS-HCC V28 risk adjustment model, with a community non-dual aged base RAF weight of 0.522. 5

Within the ICD-10-CM hierarchy, S32.111A is distinct from S32.111B, which represents a minimally displaced Zone I fracture of the sacrum during an initial encounter for an open fracture. 3

Documentation considerations

For S32.111A to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show that the provider addressed the condition through Monitoring, Evaluation, Assessment, or Treatment. 5

Coders are instructed to report S32.111A only when the provider documentation supports the specific condition described, as more specific codes within the same hierarchy can capture additional clinical detail. 5

What the sources add

While S3 establishes the official ICD-10-CM code description and hierarchy, S5 adds operational context by explaining the code's billable status and its specific mapping to a payment HCC under the CMS-HCC V28 risk adjustment model. 3 5

The provided clinical literature discusses surgical fixation and neurological deficits for Denis Zone III sacral fractures, but these excerpts do not establish clinical guidelines or treatment indications for minimally displaced Zone I sacral fractures. 1 2

Coverage and utilization context

The Centers for Medicare and Medicaid Services coverage database includes S32.111A in a list of diagnosis codes, and a separate coding resource identifies S32.111A as a billable diagnosis. 4 5

Sources

1. Closed Reduction in a “Hyperextended Supine Position” with Percutaneous Transsacral-Transiliac and Iliosacral Screw Fixation for Denis Zone III Sacral Fractures — pmc.ncbi.nlm.nih.gov; accessed 2026-07-26.
2. Consensus for management of sacral fractures: from the diagnosis to the treatment, with a focus on the role of decompression in sacral fractures — pmc.ncbi.nlm.nih.gov; accessed 2026-07-26.
3. Head and Spinal Cord ICD-10 Inclusion Codes — dph.illinois.gov; accessed 2026-07-26.
4. MCD Search — cms.gov; accessed 2026-07-26.
5. 2026 ICD-10-CM S32.111A: Minimally displaced Zone | HCC 401 — hccbuddy.com; accessed 2026-07-26.