S22

Fracture of rib(s), sternum and thoracic spine

Non-billableCategory

7th Character Required

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

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

Coding Guidelines

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 (Mutually Exclusive)

These codes should never be used together with S22

  • S28.1 - transection of thorax (S28.1)

Excludes2 (Not Included Here)

These conditions are not part of this code but may be reported additionally if documented

  • 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)

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

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