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S33.30XA
Dislocation of unspecified parts of lumbar spine and pelvis, initial encounter
ICD10CM code
Medical Policies and Guidelines for Dislocation of unspecified parts of lumbar spine and pelvis, initial encounter
Related policies from health plans
CIGNA
Intraoperative Monitoring - (0509)
ANTHEM-BLUECROSS-CT
RAD.00034 Dynamic Spinal Visualization (Including Digital Motion X-ray and Cineradiography/ Videofluoroscopy)
Similar Codes
ICD10CM codes
S33.30XA
- Dislocation of unspecified parts of lumbar spine and pelvis, initial encounter
S33.39XA
- Dislocation of other parts of lumbar spine and pelvis, initial encounter
S33.30XD
- Dislocation of unspecified parts of lumbar spine and pelvis, subsequent encounter
S33.30
- Dislocation of unspecified parts of lumbar spine and pelvis
S33.101A
- Dislocation of unspecified lumbar vertebra, initial encounter
S33.39XD
- Dislocation of other parts of lumbar spine and pelvis, subsequent encounter
S33.9XXA
- Sprain of unspecified parts of lumbar spine and pelvis, initial encounter
S33.101D
- Dislocation of unspecified lumbar vertebra, subsequent encounter
S33.8XXA
- Sprain of other parts of lumbar spine and pelvis, initial encounter
S33.3
- Dislocation of other and unspecified parts of lumbar spine and pelvis
HCPCS codes
L5696
- Addition to lower extremity, above knee or knee disarticulation, pelvic joint
G0415
- Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which dis
L2190
- Addition to lower extremity fracture orthosis, waist belt
L5697
- Addition to lower extremity, above knee or knee disarticulation, pelvic band
L5920
- Addition, endoskeletal system, above knee or hip disarticulation, alignable system
L1690
- Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation
L2390
- Addition to lower extremity, offset knee joint, each joint
D4321
- PROVISIONAL SPLINTING-EXTRACORONAL
L2640
- Addition to lower extremity, pelvic control, band and belt, bilateral
L0999
- Addition to spinal orthosis, not otherwise specified
CPT4 codes
27158
- Osteotomy, pelvis, bilateral (eg, congenital malformation)
22325
- Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach,
27193
- Closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation; without manipulatio
27299
- Unlisted procedure, pelvis or hip joint
72100
- Radiologic examination, spine, lumbosacral; 2 or 3 views
22534
- Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (ot
25685
- Open treatment of trans-scaphoperilunar type of fracture dislocation
27216
- Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture pa
63200
- Laminectomy, with release of tethered spinal cord, lumbar
27295
- Disarticulation of hip