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


