2021 ICD-10-CM Diagnosis Code S22.4

Multiple fractures of ribs

    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • S22.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2021 edition of ICD-10-CM S22.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of S22.4 - other international versions of ICD-10 S22.4 may differ.
Applicable To
  • Fractures of two or more ribs
Type 1 Excludes
Type 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 S22.4. 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.
  • flail chest (
    ICD-10-CM Diagnosis Code S22.5

    Flail chest

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    S22.5-
    )
The following code(s) above S22.4 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 S22.4:
  • S00-T88
    2021 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S20-S29
    2021 ICD-10-CM Range S20-S29

    Injuries to the thorax

    Includes
    • injuries of breast
    • injuries of chest (wall)
    • injuries of interscapular area
    Type 2 Excludes
    • burns and corrosions (T20-T32)
    • effects of foreign body in bronchus (T17.5)
    • effects of foreign body in esophagus (T18.1)
    • effects of foreign body in lung (T17.8)
    • effects of foreign body in trachea (T17.4)
    • frostbite (T33-T34)
    • injuries of axilla
    • injuries of clavicle
    • injuries of scapular region
    • injuries of shoulder
    • insect bite or sting, venomous (T63.4)
    Injuries to the thorax
  • S22
    ICD-10-CM Diagnosis Code S22

    Fracture of rib(s), sternum and thoracic spine

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code First
    • any associated:
    • injury of intrathoracic organ (S27.-)
    • spinal cord injury (S24.0-, S24.1-)
    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
    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
    Type 1 Excludes
    • transection of thorax (S28.1)
    Type 2 Excludes
    Fracture of rib(s), sternum and thoracic spine
Code History
  • 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
Code annotations containing back-references to S22.4:
  • Code Also: S21
    ICD-10-CM Diagnosis Code S21

    Open wound of thorax

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code Also
    • any associated injury, such as:
    • injury of heart (S26.-)
    • injury of intrathoracic organs (S27.-)
    • rib fracture (S22.3-, S22.4-)
    • spinal cord injury (S24.0-, S24.1-)
    • traumatic hemopneumothorax (S27.3)
    • traumatic hemothorax (S27.1)
    • traumatic pneumothorax (S27.0)
    • wound infection
    Type 1 Excludes
    • traumatic amputation (partial) of thorax (S28.1)

Diagnosis Index entries containing back-references to S22.4:
  • Fracture, traumatic (abduction) (adduction) (separation) T14.8
    - see also Fracture, pathological
    ICD-10-CM Diagnosis Code T14.8

    Other injury of unspecified body region

      2016 2017 2018 - Converted to Parent Code 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Abrasion NOS
    • Contusion NOS
    • Crush injury NOS
    • Fracture NOS
    • Skin injury NOS
    • Vascular injury NOS
    • Wound NOS
    • rib S22.3-
      ICD-10-CM Diagnosis Code S22.3-

      Fracture of one rib

        2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    • thorax (bony) S22.9
      ICD-10-CM Diagnosis Code S22.9

      Fracture of bony thorax, part unspecified

        2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
      • rib S22.3-
        ICD-10-CM Diagnosis Code S22.3-

        Fracture of one rib

          2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

ICD-10-CM Codes Adjacent To S22.4
S22.32XG …… subsequent encounter for fracture with delayed healing
S22.32XK …… subsequent encounter for fracture with nonunion
S22.32XS …… sequela
S22.39 Fracture of one rib, unspecified side
S22.39XA …… initial encounter for closed fracture
S22.39XB …… initial encounter for open fracture
S22.39XD …… subsequent encounter for fracture with routine healing
S22.39XG …… subsequent encounter for fracture with delayed healing
S22.39XK …… subsequent encounter for fracture with nonunion
S22.39XS …… sequela
S22.4 Multiple fractures of ribs
S22.41 Multiple fractures of ribs, right side
S22.41XA …… initial encounter for closed fracture
S22.41XB …… initial encounter for open fracture
S22.41XD …… subsequent encounter for fracture with routine healing
S22.41XG …… subsequent encounter for fracture with delayed healing
S22.41XK …… subsequent encounter for fracture with nonunion
S22.41XS …… sequela
S22.42 Multiple fractures of ribs, left side
S22.42XA …… initial encounter for closed fracture
S22.42XB …… initial encounter for open fracture

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.