S22 Fracture of rib(s), sternum and thoracic spine

Non-Billable/Non-Specific

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

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

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)

Type 1 Excludes

transection of thorax (S28.1)

Type 2 Excludes

fracture of clavicle (S42.0-)
fracture of scapula (S42.1-)

Codes

S22.0Fracture of thoracic vertebra
- S22.00Fracture of unspecified thoracic vertebra
  S22.000Wedge 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
  S22.000S..., sequela
  S22.001Stable burst fracture of unspecified thoracic vertebra
  S22.001A..., initial encounter for closed fracture
  S22.001B..., initial encounter for open fracture
  S22.001D..., subsequent encounter for fracture with routine healing
  S22.001G..., subsequent encounter for fracture with delayed healing
  S22.001K..., subsequent encounter for fracture with nonunion
  S22.001S..., sequela
  S22.002Unstable burst fracture of unspecified thoracic vertebra
  S22.002A..., initial encounter for closed fracture
  S22.002B..., initial encounter for open fracture
  S22.002D..., subsequent encounter for fracture with routine healing
  S22.002G..., subsequent encounter for fracture with delayed healing
  S22.002K..., subsequent encounter for fracture with nonunion
  S22.002S..., sequela
  S22.008Other fracture of unspecified thoracic vertebra
  S22.008A..., initial encounter for closed fracture
  S22.008B..., initial encounter for open fracture
  S22.008D..., subsequent encounter for fracture with routine healing
  S22.008G..., subsequent encounter for fracture with delayed healing
  S22.008K..., subsequent encounter for fracture with nonunion
  S22.008S..., sequela
  S22.009Unspecified fracture of unspecified thoracic vertebra
  S22.009A..., initial encounter for closed fracture
  S22.009B..., initial encounter for open fracture
  S22.009D..., subsequent encounter for fracture with routine healing
  S22.009G..., subsequent encounter for fracture with delayed healing
  S22.009K..., subsequent encounter for fracture with nonunion
  S22.009S..., sequela
- S22.01Fracture of first thoracic vertebra
  S22.010Wedge compression fracture of first thoracic vertebra
  S22.010A..., initial encounter for closed fracture
  S22.010B..., initial encounter for open fracture
  S22.010D..., subsequent encounter for fracture with routine healing
  S22.010G..., subsequent encounter for fracture with delayed healing
  S22.010K..., subsequent encounter for fracture with nonunion
  S22.010S..., sequela
  S22.011Stable burst fracture of first thoracic vertebra
  S22.011A..., initial encounter for closed fracture
  S22.011B..., initial encounter for open fracture
  S22.011D..., subsequent encounter for fracture with routine healing
  S22.011G..., subsequent encounter for fracture with delayed healing
  S22.011K..., subsequent encounter for fracture with nonunion
  S22.011S..., sequela
  S22.012Unstable burst fracture of first thoracic vertebra
  S22.012A..., initial encounter for closed fracture
  S22.012B..., initial encounter for open fracture
  S22.012D..., subsequent encounter for fracture with routine healing
  S22.012G..., subsequent encounter for fracture with delayed healing
  S22.012K..., subsequent encounter for fracture with nonunion
  S22.012S..., sequela
  S22.018Other fracture of first thoracic vertebra
  S22.018A..., initial encounter for closed fracture
  S22.018B..., initial encounter for open fracture
  S22.018D..., subsequent encounter for fracture with routine healing
  S22.018G..., subsequent encounter for fracture with delayed healing
  S22.018K..., subsequent encounter for fracture with nonunion
  S22.018S..., sequela
  S22.019Unspecified fracture of first thoracic vertebra
  S22.019A..., initial encounter for closed fracture
  S22.019B..., initial encounter for open fracture
  S22.019D..., subsequent encounter for fracture with routine healing
  S22.019G..., subsequent encounter for fracture with delayed healing
  S22.019K..., subsequent encounter for fracture with nonunion
  S22.019S..., sequela
- S22.02Fracture of second thoracic vertebra
  S22.020Wedge compression fracture of second thoracic vertebra
  S22.020A..., initial encounter for closed fracture
  S22.020B..., initial encounter for open fracture
  S22.020D..., subsequent encounter for fracture with routine healing
  S22.020G..., subsequent encounter for fracture with delayed healing
  S22.020K..., subsequent encounter for fracture with nonunion
  S22.020S..., sequela
  S22.021Stable burst fracture of second thoracic vertebra
  S22.021A..., initial encounter for closed fracture
  S22.021B..., initial encounter for open fracture
  S22.021D..., subsequent encounter for fracture with routine healing
  S22.021G..., subsequent encounter for fracture with delayed healing
  S22.021K..., subsequent encounter for fracture with nonunion
  S22.021S..., sequela
  S22.022Unstable burst fracture of second thoracic vertebra
  S22.022A..., initial encounter for closed fracture
  S22.022B..., initial encounter for open fracture
  S22.022D..., subsequent encounter for fracture with routine healing
  S22.022G..., subsequent encounter for fracture with delayed healing
  S22.022K..., subsequent encounter for fracture with nonunion
  S22.022S..., sequela
  S22.028Other fracture of second thoracic vertebra
  S22.028A..., initial encounter for closed fracture
  S22.028B..., initial encounter for open fracture
  S22.028D..., subsequent encounter for fracture with routine healing
  S22.028G..., subsequent encounter for fracture with delayed healing
  S22.028K..., subsequent encounter for fracture with nonunion
  S22.028S..., sequela
  S22.029Unspecified fracture of second thoracic vertebra
  S22.029A..., initial encounter for closed fracture
  S22.029B..., initial encounter for open fracture
  S22.029D..., subsequent encounter for fracture with routine healing
  S22.029G..., subsequent encounter for fracture with delayed healing
  S22.029K..., subsequent encounter for fracture with nonunion
  S22.029S..., sequela
- S22.03Fracture of third thoracic vertebra
  S22.030Wedge compression fracture of third thoracic vertebra
  S22.030A..., initial encounter for closed fracture
  S22.030B..., initial encounter for open fracture
  S22.030D..., subsequent encounter for fracture with routine healing
  S22.030G..., subsequent encounter for fracture with delayed healing
  S22.030K..., subsequent encounter for fracture with nonunion
  S22.030S..., sequela
  S22.031Stable burst fracture of third thoracic vertebra
  S22.031A..., initial encounter for closed fracture
  S22.031B..., initial encounter for open fracture
  S22.031D..., subsequent encounter for fracture with routine healing
  S22.031G..., subsequent encounter for fracture with delayed healing
  S22.031K..., subsequent encounter for fracture with nonunion
  S22.031S..., sequela
  S22.032Unstable burst fracture of third thoracic vertebra
  S22.032A..., initial encounter for closed fracture
  S22.032B..., initial encounter for open fracture
  S22.032D..., subsequent encounter for fracture with routine healing
  S22.032G..., subsequent encounter for fracture with delayed healing
  S22.032K..., subsequent encounter for fracture with nonunion
  S22.032S..., sequela
  S22.038Other fracture of third thoracic vertebra
  S22.038A..., initial encounter for closed fracture
  S22.038B..., initial encounter for open fracture
  S22.038D..., subsequent encounter for fracture with routine healing
  S22.038G..., subsequent encounter for fracture with delayed healing
  S22.038K..., subsequent encounter for fracture with nonunion
  S22.038S..., sequela
  S22.039Unspecified fracture of third thoracic vertebra
  S22.039A..., initial encounter for closed fracture
  S22.039B..., initial encounter for open fracture
  S22.039D..., subsequent encounter for fracture with routine healing
  S22.039G..., subsequent encounter for fracture with delayed healing
  S22.039K..., subsequent encounter for fracture with nonunion
  S22.039S..., sequela
- S22.04Fracture of fourth thoracic vertebra
  S22.040Wedge compression fracture of fourth thoracic vertebra
  S22.040A..., initial encounter for closed fracture
  S22.040B..., initial encounter for open fracture
  S22.040D..., subsequent encounter for fracture with routine healing
  S22.040G..., subsequent encounter for fracture with delayed healing
  S22.040K..., subsequent encounter for fracture with nonunion
  S22.040S..., sequela
  S22.041Stable burst fracture of fourth thoracic vertebra
  S22.041A..., initial encounter for closed fracture
  S22.041B..., initial encounter for open fracture
  S22.041D..., subsequent encounter for fracture with routine healing
  S22.041G..., subsequent encounter for fracture with delayed healing
  S22.041K..., subsequent encounter for fracture with nonunion
  S22.041S..., sequela
  S22.042Unstable burst fracture of fourth thoracic vertebra
  S22.042A..., initial encounter for closed fracture
  S22.042B..., initial encounter for open fracture
  S22.042D..., subsequent encounter for fracture with routine healing
  S22.042G..., subsequent encounter for fracture with delayed healing
  S22.042K..., subsequent encounter for fracture with nonunion
  S22.042S..., sequela
  S22.048Other fracture of fourth thoracic vertebra
  S22.048A..., initial encounter for closed fracture
  S22.048B..., initial encounter for open fracture
  S22.048D..., subsequent encounter for fracture with routine healing
  S22.048G..., subsequent encounter for fracture with delayed healing
  S22.048K..., subsequent encounter for fracture with nonunion
  S22.048S..., sequela
  S22.049Unspecified fracture of fourth thoracic vertebra
  S22.049A..., initial encounter for closed fracture
  S22.049B..., initial encounter for open fracture
  S22.049D..., subsequent encounter for fracture with routine healing
  S22.049G..., subsequent encounter for fracture with delayed healing
  S22.049K..., subsequent encounter for fracture with nonunion
  S22.049S..., sequela
- S22.05Fracture of T5-T6 vertebra
  S22.050Wedge compression fracture of T5-T6 vertebra
  S22.050A..., initial encounter for closed fracture
  S22.050B..., initial encounter for open fracture
  S22.050D..., subsequent encounter for fracture with routine healing
  S22.050G..., subsequent encounter for fracture with delayed healing
  S22.050K..., subsequent encounter for fracture with nonunion
  S22.050S..., sequela
  S22.051Stable burst fracture of T5-T6 vertebra
  S22.051A..., initial encounter for closed fracture
  S22.051B..., initial encounter for open fracture
  S22.051D..., subsequent encounter for fracture with routine healing
  S22.051G..., subsequent encounter for fracture with delayed healing
  S22.051K..., subsequent encounter for fracture with nonunion
  S22.051S..., sequela
  S22.052Unstable burst fracture of T5-T6 vertebra
  S22.052A..., initial encounter for closed fracture
  S22.052B..., initial encounter for open fracture
  S22.052D..., subsequent encounter for fracture with routine healing
  S22.052G..., subsequent encounter for fracture with delayed healing
  S22.052K..., subsequent encounter for fracture with nonunion
  S22.052S..., sequela
  S22.058Other fracture of T5-T6 vertebra
  S22.058A..., initial encounter for closed fracture
  S22.058B..., initial encounter for open fracture
  S22.058D..., subsequent encounter for fracture with routine healing
  S22.058G..., subsequent encounter for fracture with delayed healing
  S22.058K..., subsequent encounter for fracture with nonunion
  S22.058S..., sequela
  S22.059Unspecified fracture of T5-T6 vertebra
  S22.059A..., initial encounter for closed fracture
  S22.059B..., initial encounter for open fracture
  S22.059D..., subsequent encounter for fracture with routine healing
  S22.059G..., subsequent encounter for fracture with delayed healing
  S22.059K..., subsequent encounter for fracture with nonunion
  S22.059S..., sequela
- S22.06Fracture of T7-T8 vertebra
  S22.060Wedge compression fracture of T7-T8 vertebra
  S22.060A..., initial encounter for closed fracture
  S22.060B..., initial encounter for open fracture
  S22.060D..., subsequent encounter for fracture with routine healing
  S22.060G..., subsequent encounter for fracture with delayed healing
  S22.060K..., subsequent encounter for fracture with nonunion
  S22.060S..., sequela
  S22.061Stable burst fracture of T7-T8 vertebra
  S22.061A..., initial encounter for closed fracture
  S22.061B..., initial encounter for open fracture
  S22.061D..., subsequent encounter for fracture with routine healing
  S22.061G..., subsequent encounter for fracture with delayed healing
  S22.061K..., subsequent encounter for fracture with nonunion
  S22.061S..., sequela
  S22.062Unstable burst fracture of T7-T8 vertebra
  S22.062A..., initial encounter for closed fracture
  S22.062B..., initial encounter for open fracture
  S22.062D..., subsequent encounter for fracture with routine healing
  S22.062G..., subsequent encounter for fracture with delayed healing
  S22.062K..., subsequent encounter for fracture with nonunion
  S22.062S..., sequela
  S22.068Other fracture of T7-T8 thoracic vertebra
  S22.068A..., initial encounter for closed fracture
  S22.068B..., initial encounter for open fracture
  S22.068D..., subsequent encounter for fracture with routine healing
  S22.068G..., subsequent encounter for fracture with delayed healing
  S22.068K..., subsequent encounter for fracture with nonunion
  S22.068S..., sequela
  S22.069Unspecified fracture of T7-T8 vertebra
  S22.069A..., initial encounter for closed fracture
  S22.069B..., initial encounter for open fracture
  S22.069D..., subsequent encounter for fracture with routine healing
  S22.069G..., subsequent encounter for fracture with delayed healing
  S22.069K..., subsequent encounter for fracture with nonunion
  S22.069S..., sequela
- S22.07Fracture of T9-T10 vertebra
  S22.070Wedge compression fracture of T9-T10 vertebra
  S22.070A..., initial encounter for closed fracture
  S22.070B..., initial encounter for open fracture
  S22.070D..., subsequent encounter for fracture with routine healing
  S22.070G..., subsequent encounter for fracture with delayed healing
  S22.070K..., subsequent encounter for fracture with nonunion
  S22.070S..., sequela
  S22.071Stable burst fracture of T9-T10 vertebra
  S22.071A..., initial encounter for closed fracture
  S22.071B..., initial encounter for open fracture
  S22.071D..., subsequent encounter for fracture with routine healing
  S22.071G..., subsequent encounter for fracture with delayed healing
  S22.071K..., subsequent encounter for fracture with nonunion
  S22.071S..., sequela
  S22.072Unstable burst fracture of T9-T10 vertebra
  S22.072A..., initial encounter for closed fracture
  S22.072B..., initial encounter for open fracture
  S22.072D..., subsequent encounter for fracture with routine healing
  S22.072G..., subsequent encounter for fracture with delayed healing
  S22.072K..., subsequent encounter for fracture with nonunion
  S22.072S..., sequela
  S22.078Other fracture of T9-T10 vertebra
  S22.078A..., initial encounter for closed fracture
  S22.078B..., initial encounter for open fracture
  S22.078D..., subsequent encounter for fracture with routine healing
  S22.078G..., subsequent encounter for fracture with delayed healing
  S22.078K..., subsequent encounter for fracture with nonunion
  S22.078S..., sequela
  S22.079Unspecified fracture of T9-T10 vertebra
  S22.079A..., initial encounter for closed fracture
  S22.079B..., initial encounter for open fracture
  S22.079D..., subsequent encounter for fracture with routine healing
  S22.079G..., subsequent encounter for fracture with delayed healing
  S22.079K..., subsequent encounter for fracture with nonunion
  S22.079S..., sequela
- S22.08Fracture of T11-T12 vertebra
  S22.080Wedge compression fracture of T11-T12 vertebra
  S22.080A..., initial encounter for closed fracture
  S22.080B..., initial encounter for open fracture
  S22.080D..., subsequent encounter for fracture with routine healing
  S22.080G..., subsequent encounter for fracture with delayed healing
  S22.080K..., subsequent encounter for fracture with nonunion
  S22.080S..., sequela
  S22.081Stable burst fracture of T11-T12 vertebra
  S22.081A..., initial encounter for closed fracture
  S22.081B..., initial encounter for open fracture
  S22.081D..., subsequent encounter for fracture with routine healing
  S22.081G..., subsequent encounter for fracture with delayed healing
  S22.081K..., subsequent encounter for fracture with nonunion
  S22.081S..., sequela
  S22.082Unstable burst fracture of T11-T12 vertebra
  S22.082A..., initial encounter for closed fracture
  S22.082B..., initial encounter for open fracture
  S22.082D..., subsequent encounter for fracture with routine healing
  S22.082G..., subsequent encounter for fracture with delayed healing
  S22.082K..., subsequent encounter for fracture with nonunion
  S22.082S..., sequela
  S22.088Other fracture of T11-T12 vertebra
  S22.088A..., initial encounter for closed fracture
  S22.088B..., initial encounter for open fracture
  S22.088D..., subsequent encounter for fracture with routine healing
  S22.088G..., subsequent encounter for fracture with delayed healing
  S22.088K..., subsequent encounter for fracture with nonunion
  S22.088S..., sequela
  S22.089Unspecified fracture of T11-T12 vertebra
  S22.089A..., initial encounter for closed fracture
  S22.089B..., initial encounter for open fracture
  S22.089D..., subsequent encounter for fracture with routine healing
  S22.089G..., subsequent encounter for fracture with delayed healing
  S22.089K..., subsequent encounter for fracture with nonunion
  S22.089S..., sequela
S22.2Fracture of sternum
- S22.20Unspecified fracture of sternum
  S22.20XA..., initial encounter for closed fracture
  S22.20XB..., initial encounter for open fracture
  S22.20XD..., subsequent encounter for fracture with routine healing
  S22.20XG..., subsequent encounter for fracture with delayed healing
  S22.20XK..., subsequent encounter for fracture with nonunion
  S22.20XS..., sequela
- S22.21Fracture of manubrium
  S22.21XA..., initial encounter for closed fracture
  S22.21XB..., initial encounter for open fracture
  S22.21XD..., subsequent encounter for fracture with routine healing
  S22.21XG..., subsequent encounter for fracture with delayed healing
  S22.21XK..., subsequent encounter for fracture with nonunion
  S22.21XS..., sequela
- S22.22Fracture of body of sternum
  S22.22XA..., initial encounter for closed fracture
  S22.22XB..., initial encounter for open fracture
  S22.22XD..., subsequent encounter for fracture with routine healing
  S22.22XG..., subsequent encounter for fracture with delayed healing
  S22.22XK..., subsequent encounter for fracture with nonunion
  S22.22XS..., sequela
- S22.23Sternal manubrial dissociation
  S22.23XA..., initial encounter for closed fracture
  S22.23XB..., initial encounter for open fracture
  S22.23XD..., subsequent encounter for fracture with routine healing
  S22.23XG..., subsequent encounter for fracture with delayed healing
  S22.23XK..., subsequent encounter for fracture with nonunion
  S22.23XS..., sequela
- S22.24Fracture of xiphoid process
  S22.24XA..., initial encounter for closed fracture
  S22.24XB..., initial encounter for open fracture
  S22.24XD..., subsequent encounter for fracture with routine healing
  S22.24XG..., subsequent encounter for fracture with delayed healing
  S22.24XK..., subsequent encounter for fracture with nonunion
  S22.24XS..., sequela
S22.3Fracture of one rib
- S22.31Fracture of one rib, right side
  S22.31XA..., initial encounter for closed fracture
  S22.31XB..., initial encounter for open fracture
  S22.31XD..., subsequent encounter for fracture with routine healing
  S22.31XG..., subsequent encounter for fracture with delayed healing
  S22.31XK..., subsequent encounter for fracture with nonunion
  S22.31XS..., sequela
- S22.32Fracture of one rib, left side
  S22.32XA..., initial encounter for closed fracture
  S22.32XB..., initial encounter for open fracture
  S22.32XD..., subsequent encounter for fracture with routine healing
  S22.32XG..., subsequent encounter for fracture with delayed healing
  S22.32XK..., subsequent encounter for fracture with nonunion
  S22.32XS..., sequela
- S22.39Fracture 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
S22.4Multiple fractures of ribs
- S22.41Multiple 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
- S22.42Multiple fractures of ribs, left side
  S22.42XA..., initial encounter for closed fracture
  S22.42XB..., initial encounter for open fracture
  S22.42XD..., subsequent encounter for fracture with routine healing
  S22.42XG..., subsequent encounter for fracture with delayed healing
  S22.42XK..., subsequent encounter for fracture with nonunion
  S22.42XS..., sequela
- S22.43Multiple 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
- S22.49Multiple 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
S22.5Flail 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
- S22.5XXS..., sequela
S22.9Fracture of bony thorax, part unspecified
- S22.9XXA..., initial encounter for closed fracture
- S22.9XXB..., initial encounter for open fracture
- S22.9XXD..., subsequent encounter for fracture with routine healing
- S22.9XXG..., subsequent encounter for fracture with delayed healing
- S22.9XXK..., subsequent encounter for fracture with nonunion
- S22.9XXS..., sequela