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ICD-10-CM Codes
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S00-T88
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S20-S29
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S22-
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2023 ICD-10-CM Diagnosis Code S22
2023 ICD-10-CM Diagnosis Code S22
Fracture of rib(s), sternum and thoracic spine
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
- S22 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
- The 2023 edition of ICD-10-CM S22 became effective on October 1, 2022.
- This is the American ICD-10-CM version of S22 - other international versions of ICD-10 S22 may differ.
Note- 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
Code FirstCode First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
- any associated:
- injury of intrathoracic organ (
ICD-10-CM Diagnosis Code S27
- S27 Injury of other and unspecified intrathoracic...
- S27.0 Traumatic pneumothorax
- S27.1 Traumatic hemothorax
- S27.2 Traumatic hemopneumothorax
- S27.2XXA Traumatic hemopneumothorax, initial encounter...
- S27.2XXD Traumatic hemopneumothorax, subsequent encoun...
- S27.2XXS …… sequela
- S27.3 Other and unspecified injuries of lung
- S27.30 Unspecified injury of lung
- S27.301 Unspecified injury of lung, unilateral
- S27.301A Unspecified injury of lung, unilateral, initi...
- S27.301D Unspecified injury of lung, unilateral, subse...
- S27.301S Unspecified injury of lung, unilateral, seque...
- S27.302 Unspecified injury of lung, bilateral
- S27.302A Unspecified injury of lung, bilateral, initia...
- S27.302D Unspecified injury of lung, bilateral, subseq...
- S27.302S Unspecified injury of lung, bilateral, sequel...
- S27.309 Unspecified injury of lung, unspecified
- S27.309A Unspecified injury of lung, unspecified, init...
- S27.309D Unspecified injury of lung, unspecified, subs...
- S27.309S Unspecified injury of lung, unspecified, sequ...
- S27.31 Primary blast injury of lung
- S27.311 Primary blast injury of lung, unilateral
- S27.311A Primary blast injury of lung, unilateral, ini...
- S27.311D Primary blast injury of lung, unilateral, sub...
- S27.311S Primary blast injury of lung, unilateral, seq...
- S27.312 Primary blast injury of lung, bilateral
- S27.312A Primary blast injury of lung, bilateral, init...
- S27.312D Primary blast injury of lung, bilateral, subs...
- S27.312S Primary blast injury of lung, bilateral, sequ...
- S27.319 Primary blast injury of lung, unspecified
- S27.319A Primary blast injury of lung, unspecified, in...
- S27.319D Primary blast injury of lung, unspecified, su...
- S27.319S Primary blast injury of lung, unspecified, se...
- S27.32 Contusion of lung
- S27.321 Contusion of lung, unilateral
- S27.321A Contusion of lung, unilateral, initial encoun...
- S27.321D Contusion of lung, unilateral, subsequent enc...
- S27.321S …… sequela
- S27.322 Contusion of lung, bilateral
- S27.322A Contusion of lung, bilateral, initial encount...
- S27.322D Contusion of lung, bilateral, subsequent enco...
- S27.322S …… sequela
- S27.329 Contusion of lung, unspecified
- S27.329A Contusion of lung, unspecified, initial encou...
- S27.329D Contusion of lung, unspecified, subsequent en...
- S27.329S …… sequela
- S27.33 Laceration of lung
- S27.331 Laceration of lung, unilateral
- S27.331A Laceration of lung, unilateral, initial encou...
- S27.331D Laceration of lung, unilateral, subsequent en...
- S27.331S …… sequela
- S27.332 Laceration of lung, bilateral
- S27.332A Laceration of lung, bilateral, initial encoun...
- S27.332D Laceration of lung, bilateral, subsequent enc...
- S27.332S …… sequela
- S27.339 Laceration of lung, unspecified
- S27.339A Laceration of lung, unspecified, initial enco...
- S27.339D Laceration of lung, unspecified, subsequent e...
- S27.339S …… sequela
- S27.39 Other injuries of lung
- S27.391 Other injuries of lung, unilateral
- S27.391A Other injuries of lung, unilateral, initial e...
- S27.391D Other injuries of lung, unilateral, subsequen...
- S27.391S …… sequela
- S27.392 Other injuries of lung, bilateral
- S27.392A Other injuries of lung, bilateral, initial en...
- S27.392D Other injuries of lung, bilateral, subsequent...
- S27.392S …… sequela
- S27.399 Other injuries of lung, unspecified
- S27.399A Other injuries of lung, unspecified, initial ...
- S27.399D Other injuries of lung, unspecified, subseque...
- S27.399S …… sequela
- S27.4 Injury of bronchus
- S27.40 Unspecified injury of bronchus
- S27.401 Unspecified injury of bronchus, unilateral
- S27.401A Unspecified injury of bronchus, unilateral, i...
- S27.401D Unspecified injury of bronchus, unilateral, s...
- S27.401S Unspecified injury of bronchus, unilateral, s...
- S27.402 Unspecified injury of bronchus, bilateral
- S27.402A Unspecified injury of bronchus, bilateral, in...
- S27.402D Unspecified injury of bronchus, bilateral, su...
- S27.402S Unspecified injury of bronchus, bilateral, se...
- S27.409 Unspecified injury of bronchus, unspecified
- S27.409A Unspecified injury of bronchus, unspecified, ...
- S27.409D Unspecified injury of bronchus, unspecified, ...
- S27.409S Unspecified injury of bronchus, unspecified, ...
- S27.41 Primary blast injury of bronchus
- S27.411 Primary blast injury of bronchus, unilateral
- S27.411A Primary blast injury of bronchus, unilateral,...
- S27.411D Primary blast injury of bronchus, unilateral,...
- S27.411S Primary blast injury of bronchus, unilateral,...
- S27.412 Primary blast injury of bronchus, bilateral
- S27.412A Primary blast injury of bronchus, bilateral, ...
- S27.412D Primary blast injury of bronchus, bilateral, ...
- S27.412S Primary blast injury of bronchus, bilateral, ...
- S27.419 Primary blast injury of bronchus, unspecified...
- S27.419A Primary blast injury of bronchus, unspecified...
- S27.419D Primary blast injury of bronchus, unspecified...
- S27.419S Primary blast injury of bronchus, unspecified...
- S27.42 Contusion of bronchus
- S27.421 Contusion of bronchus, unilateral
- S27.421A Contusion of bronchus, unilateral, initial en...
- S27.421D Contusion of bronchus, unilateral, subsequent...
- S27.421S …… sequela
- S27.422 Contusion of bronchus, bilateral
- S27.422A Contusion of bronchus, bilateral, initial enc...
- S27.422D Contusion of bronchus, bilateral, subsequent ...
- S27.422S …… sequela
- S27.429 Contusion of bronchus, unspecified
- S27.429A Contusion of bronchus, unspecified, initial e...
- S27.429D Contusion of bronchus, unspecified, subsequen...
- S27.429S …… sequela
- S27.43 Laceration of bronchus
- S27.431 Laceration of bronchus, unilateral
- S27.431A Laceration of bronchus, unilateral, initial e...
- S27.431D Laceration of bronchus, unilateral, subsequen...
- S27.431S …… sequela
- S27.432 Laceration of bronchus, bilateral
- S27.432A Laceration of bronchus, bilateral, initial en...
- S27.432D Laceration of bronchus, bilateral, subsequent...
- S27.432S …… sequela
- S27.439 Laceration of bronchus, unspecified
- S27.439A Laceration of bronchus, unspecified, initial ...
- S27.439D Laceration of bronchus, unspecified, subseque...
- S27.439S …… sequela
- S27.49 Other injury of bronchus
- S27.491 Other injury of bronchus, unilateral
- S27.491A Other injury of bronchus, unilateral, initial...
- S27.491D Other injury of bronchus, unilateral, subsequ...
- S27.491S Other injury of bronchus, unilateral, sequela...
- S27.492 Other injury of bronchus, bilateral
- S27.492A Other injury of bronchus, bilateral, initial ...
- S27.492D Other injury of bronchus, bilateral, subseque...
- S27.492S …… sequela
- S27.499 Other injury of bronchus, unspecified
- S27.499A Other injury of bronchus, unspecified, initia...
- S27.499D Other injury of bronchus, unspecified, subseq...
- S27.499S Other injury of bronchus, unspecified, sequel...
- S27.5 Injury of thoracic trachea
- S27.50 Unspecified injury of thoracic trachea
- S27.50XA Unspecified injury of thoracic trachea, initi...
- S27.50XD Unspecified injury of thoracic trachea, subse...
- S27.50XS Unspecified injury of thoracic trachea, seque...
- S27.51 Primary blast injury of thoracic trachea
- S27.51XA Primary blast injury of thoracic trachea, ini...
- S27.51XD Primary blast injury of thoracic trachea, sub...
- S27.51XS Primary blast injury of thoracic trachea, seq...
- S27.52 Contusion of thoracic trachea
- S27.52XA Contusion of thoracic trachea, initial encoun...
- S27.52XD Contusion of thoracic trachea, subsequent enc...
- S27.52XS …… sequela
- S27.53 Laceration of thoracic trachea
- S27.53XA Laceration of thoracic trachea, initial encou...
- S27.53XD Laceration of thoracic trachea, subsequent en...
- S27.53XS …… sequela
- S27.59 Other injury of thoracic trachea
- S27.59XA Other injury of thoracic trachea, initial enc...
- S27.59XD Other injury of thoracic trachea, subsequent ...
- S27.59XS …… sequela
- S27.6 Injury of pleura
- S27.60 Unspecified injury of pleura
- S27.60XA Unspecified injury of pleura, initial encount...
- S27.60XD Unspecified injury of pleura, subsequent enco...
- S27.60XS …… sequela
- S27.63 Laceration of pleura
- S27.69 Other injury of pleura
- S27.8 Injury of other specified intrathoracic organ...
- S27.80 Injury of diaphragm
- S27.802 Contusion of diaphragm
- S27.803 Laceration of diaphragm
- S27.808 Other injury of diaphragm
- S27.809 Unspecified injury of diaphragm
- S27.809A Unspecified injury of diaphragm, initial enco...
- S27.809D Unspecified injury of diaphragm, subsequent e...
- S27.809S …… sequela
- S27.81 Injury of esophagus (thoracic part)
- S27.812 Contusion of esophagus (thoracic part)
- S27.812A Contusion of esophagus (thoracic part), initi...
- S27.812D Contusion of esophagus (thoracic part), subse...
- S27.812S Contusion of esophagus (thoracic part), seque...
- S27.813 Laceration of esophagus (thoracic part)
- S27.813A Laceration of esophagus (thoracic part), init...
- S27.813D Laceration of esophagus (thoracic part), subs...
- S27.813S Laceration of esophagus (thoracic part), sequ...
- S27.818 Other injury of esophagus (thoracic part)
- S27.818A Other injury of esophagus (thoracic part), in...
- S27.818D Other injury of esophagus (thoracic part), su...
- S27.818S Other injury of esophagus (thoracic part), se...
- S27.819 Unspecified injury of esophagus (thoracic par...
- S27.819A Unspecified injury of esophagus (thoracic par...
- S27.819D Unspecified injury of esophagus (thoracic par...
- S27.819S Unspecified injury of esophagus (thoracic par...
- S27.89 Injury of other specified intrathoracic organ...
- S27.892 Contusion of other specified intrathoracic or...
- S27.892A Contusion of other specified intrathoracic or...
- S27.892D Contusion of other specified intrathoracic or...
- S27.892S Contusion of other specified intrathoracic or...
- S27.893 Laceration of other specified intrathoracic o...
- S27.893A Laceration of other specified intrathoracic o...
- S27.893D Laceration of other specified intrathoracic o...
- S27.893S Laceration of other specified intrathoracic o...
- S27.898 Other injury of other specified intrathoracic...
- S27.898A Other injury of other specified intrathoracic...
- S27.898D Other injury of other specified intrathoracic...
- S27.898S Other injury of other specified intrathoracic...
- S27.899 Unspecified injury of other specified intrath...
- S27.899A Unspecified injury of other specified intrath...
- S27.899D Unspecified injury of other specified intrath...
- S27.899S Unspecified injury of other specified intrath...
- S27.9 Injury of unspecified intrathoracic organ
- S27.9XXA Injury of unspecified intrathoracic organ, in...
- S27.9XXD Injury of unspecified intrathoracic organ, su...
- S27.9XXS Injury of unspecified intrathoracic organ, se...
- spinal cord injury (
ICD-10-CM Diagnosis Code S24.0
Concussion and edema of thoracic spinal cord
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
ICD-10-CM Diagnosis Code S24.1
Other and unspecified injuries of thoracic spinal cord
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Type 1 ExcludesType 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as S22. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Type 2 ExcludesType 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (S22) and the excluded code together.
IncludesIncludes Help
"Includes" further defines, or give examples of, the content of the code or category.
- fracture of thoracic neural arch
- fracture of thoracic spinous process
- fracture of thoracic transverse process
- fracture of thoracic vertebra
- fracture of thoracic vertebral arch
The following code(s) above
S22 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
that may be applicable to
S22:
- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
Code annotations containing back-references to S22:
-
Type 1 Excludes: M84.3, M84.4, M48.5
ICD-10-CM Diagnosis Code M84.3
Stress fracture
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Applicable To- Fatigue fracture
- March fracture
- Stress fracture NOS
- Stress reaction
Type 2 Excludes- personal history of (healed) stress (fatigue) fracture (Z87.312)
- stress fracture of vertebra (M48.4-)
Use Additional- external cause code(s) to identify the cause of the stress fracture
ICD-10-CM Diagnosis Code M84.4
Pathological fracture, not elsewhere classified
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Applicable To- Chronic fracture
- Pathological fracture NOS
Type 2 Excludes- personal history of (healed) pathological fracture (Z87.311)
ICD-10-CM Diagnosis Code M48.5
Collapsed vertebra, not elsewhere classified
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Applicable To- Collapsed vertebra NOS
- Compression fracture of vertebra NOS
- Wedging of vertebra NOS
Type 1 Excludes- current injury - see Injury of spine, by body region
- fatigue fracture of vertebra (M48.4)
- pathological fracture of vertebra due to neoplasm (M84.58)
- pathological fracture of vertebra due to other diagnosis (M84.68)
- pathological fracture of vertebra due to osteoporosis (M80.-)
- pathological fracture NOS (M84.4-)
- stress fracture of vertebra (M48.4-)
- traumatic fracture of vertebra (S12.-, S22.-, S32.-)
ICD-10-CM Codes Adjacent To S22
S21.94 Puncture wound with foreign body of unspecified part of thorax
S21.95 Open bite of unspecified part of thorax
S22
Fracture of rib(s), sternum and thoracic spine
S22.0 Fracture of thoracic vertebra
S22.00 Fracture of unspecified thoracic vertebra
S22.000 Wedge compression fracture of unspecified thoracic vertebra
S22.000A …… initial encounter for closed fracture
S22.000B …… initial encounter for open fracture
S22.000D …… subsequent encounter for fracture with routine healing
S22.000G …… subsequent encounter for fracture with delayed healing
S22.000K …… subsequent encounter for fracture with nonunion
S22.001 Stable burst fracture of unspecified thoracic vertebra
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
