2019 ICD-10-CM Diagnosis Code S22.49XB

Multiple fractures of ribs, unspecified side, initial encounter for open fracture

    2016 2017 2018 2019 Billable/Specific Code
  • S22.49XB is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Multiple fractures of ribs, unsp side, init for opn fx
  • The 2019 edition of ICD-10-CM S22.49XB became effective on October 1, 2018.
  • This is the American ICD-10-CM version of S22.49XB - other international versions of ICD-10 S22.49XB may differ.
The following code(s) above S22.49XB 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 S22.49XB:
  • S00-T88
    2019 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
    2019 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 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
  • S22.4
    ICD-10-CM Diagnosis Code S22.4

    Multiple fractures of ribs

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Fractures of two or more ribs
    Type 1 Excludes
    Multiple fractures of ribs
ICD-10-CM S22.49XB is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 183 Major chest trauma with mcc
  • 184 Major chest trauma with cc
  • 185 Major chest trauma without cc/mcc
  • 955 Craniotomy for multiple significant trauma
  • 956 Limb reattachment, hip and femur procedures for multiple significant trauma
  • 957 Other o.r. Procedures for multiple significant trauma with mcc
  • 958 Other o.r. Procedures for multiple significant trauma with cc
  • 959 Other o.r. Procedures for multiple significant trauma without cc/mcc
  • 963 Other multiple significant trauma with mcc
  • 964 Other multiple significant trauma with cc
  • 965 Other multiple significant trauma without cc/mcc

Convert S22.49XB to ICD-9-CM

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
ICD-10-CM Codes Adjacent To S22.49XB
S22.42XS …… sequela
S22.43 Multiple fractures of ribs, bilateral
S22.43XA …… initial encounter for closed fracture
S22.43XB …… initial encounter for open fracture
S22.43XD …… subsequent encounter for fracture with routine healing
S22.43XG …… subsequent encounter for fracture with delayed healing
S22.43XK …… subsequent encounter for fracture with nonunion
S22.43XS …… sequela
S22.49 Multiple fractures of ribs, unspecified side
S22.49XA …… initial encounter for closed fracture
S22.49XB …… initial encounter for open fracture
S22.49XD …… subsequent encounter for fracture with routine healing
S22.49XG …… subsequent encounter for fracture with delayed healing
S22.49XK …… subsequent encounter for fracture with nonunion
S22.49XS …… sequela
S22.5 Flail chest
S22.5XXA …… initial encounter for closed fracture
S22.5XXB …… initial encounter for open fracture
S22.5XXD …… subsequent encounter for fracture with routine healing
S22.5XXG …… subsequent encounter for fracture with delayed healing
S22.5XXK …… subsequent encounter for fracture with nonunion

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