S22 Fracture of rib(s), sternum and thoracic spine

Non-billable header with 6 child codes.

Includes

• fracture of thoracic neural arch
• fracture of thoracic spinous process
• fracture of thoracic transverse process
• fracture of thoracic vertebra
• fracture of thoracic vertebral arch

Excludes1 (never code together)

• transection of thorax (S28.1)

Excludes2 (not included here)

• fracture of clavicle (S42.0-)
• fracture of scapula (S42.1-)

Code also

• , if applicable, any associated condition such as:
• injury of intrathoracic organ (S27.-)
• spinal cord injury (S24.0-, S24.1-)
• traumatic hemopneumothorax (S27.2)
• traumatic hemothorax (S27.1-)
• traumatic pneumothorax (S27.0)

7th character note

• The appropriate 7th character is to be added to each code from category S22

Notes

• A fracture not indicated as displaced or nondisplaced should be coded to displaced
• A fracture not indicated as open or closed should be coded to closed

7th character required

• A — initial encounter for closed fracture
• B — initial encounter for open fracture
• D — subsequent encounter for fracture with routine healing
• G — subsequent encounter for fracture with delayed healing
• K — subsequent encounter for fracture with nonunion
• S — sequela

Applies from S22 Fracture of rib(s), sternum and thoracic spine

Includes

• fracture of thoracic neural arch
• fracture of thoracic spinous process
• fracture of thoracic transverse process
• fracture of thoracic vertebra
• fracture of thoracic vertebral arch

Excludes1 (never code together)

• transection of thorax (S28.1)

Excludes2 (not included here)

• fracture of clavicle (S42.0-)
• fracture of scapula (S42.1-)

Code also

• , if applicable, any associated condition such as:
• injury of intrathoracic organ (S27.-)
• spinal cord injury (S24.0-, S24.1-)
• traumatic hemopneumothorax (S27.2)
• traumatic hemothorax (S27.1-)
• traumatic pneumothorax (S27.0)

7th character note

• The appropriate 7th character is to be added to each code from category S22

Notes

• A fracture not indicated as displaced or nondisplaced should be coded to displaced
• A fracture not indicated as open or closed should be coded to closed

7th character required

• A — initial encounter for closed fracture
• B — initial encounter for open fracture
• D — subsequent encounter for fracture with routine healing
• G — subsequent encounter for fracture with delayed healing
• K — subsequent encounter for fracture with nonunion
• S — sequela

Codes under S22

• S22.0 Fracture of thoracic vertebra
• S22.2 Fracture of sternum
• S22.3 Fracture of one rib
• S22.4 Multiple fractures of ribs
• S22.5 Flail chest
• S22.9 Fracture of bony thorax, part unspecified

Code annotations containing back-references to S22

Back-references to S22

• Type 1 Excludes: M48.5 Collapsed vertebra, not elsewhere classified ("traumatic fracture of vertebra (S12.-, S22.-, S32.-)")
• Type 1 Excludes: M84.3 Stress fracture ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
• Type 1 Excludes: M84.4 Pathological fracture, not elsewhere classified ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")

Back-references to S22

• Type 1 Excludes: M48.5 Collapsed vertebra, not elsewhere classified ("traumatic fracture of vertebra (S12.-, S22.-, S32.-)")
• Type 1 Excludes: M84.3 Stress fracture ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
• Type 1 Excludes: M84.4 Pathological fracture, not elsewhere classified ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")

Nearby codes

• S22 Fracture of rib(s), sternum and thoracic spine (this code)
• S22.0 Fracture of thoracic vertebra
• S22.00 Fracture of unspecified thoracic vertebra
• S22.000 Wedge compression fracture of unspecified thoracic vertebra
• S22.000A Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture
• S22.000B Wedge compression fracture of unspecified thoracic vertebra, initial encounter for open fracture