Injuries to the thorax
ICD-10 Codes (200)
S51S51.0S51.00S51.001S51.002S51.009S51.01S51.011S51.012S51.019S51.02S51.021S51.022S51.029S51.03S51.031S51.032S51.039S51.04S51.041S51.042S51.049S51.05S51.051S51.052S51.059S51.8S51.80S51.801S51.802S51.809S51.81S51.811S51.812S51.819S51.82S51.821S51.822S51.829S51.83S51.831S51.832S51.839S51.84S51.841S51.842S51.849S51.85S51.851S51.852S51.859S52S52.0S52.00S52.001S52.002S52.009S52.01S52.011S52.012S52.019S52.02S52.021S52.022S52.023S52.024S52.025S52.026S52.03S52.031S52.032S52.033S52.034S52.035S52.036S52.04S52.041S52.042S52.043S52.044S52.045S52.046S52.09S52.091S52.092S52.099S52.1S52.10S52.101S52.102S52.109S52.11S52.111S52.112S52.119S52.12S52.121S52.122S52.123S52.124S52.125S52.126S52.13S52.131S52.132S52.133S52.134S52.135S52.136S52.18S52.181S52.182S52.189S52.2S52.20S52.201S52.202S52.209S52.21S52.211S52.212S52.219S52.22S52.221S52.222S52.223S52.224S52.225S52.226S52.23S52.231S52.232S52.233S52.234S52.235S52.236S52.24S52.241S52.242S52.243S52.244S52.245S52.246S52.25S52.251S52.252S52.253S52.254S52.255S52.256S52.26S52.261S52.262S52.263S52.264S52.265S52.266S52.27S52.271S52.272S52.279S52.28S52.281S52.282S52.283S52.29S52.291S52.292S52.299S52.3S52.30S52.301S52.302S52.309S52.31S52.311S52.312S52.319S52.32S52.321S52.322S52.323S52.324S52.325S52.326S52.33S52.331S52.332S52.333S52.334S52.335S52.336S52.34S52.341S52.342S52.343S52.344S52.345S52.346S52.35Updates & Changes
FY 2026 Updates
New Codes (1)
Revised Codes (1)
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for S50-S59 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The ICD-10 category S50-S59 pertains to injuries to the thorax. This range includes codes for various types of injuries such as fractures, dislocations, sprains and strains, and other internal injuries of the thorax. These codes are used to document the nature, location, and severity of the injury, as well as any complications or associated conditions.
Key Usage Points:
- •Always specify the location of the injury within the thorax.
- •Include details about the cause of the injury, if known.
- •Document any associated conditions or complications.
- •Use additional codes to indicate any relevant external causes.
- •Remember to code also for any related surgical procedures.
Coding Guidelines
When to Use:
- ✓When a patient presents with a thoracic injury.
- ✓For documentation of postoperative complications related to thoracic surgery.
- ✓When a patient has a chronic condition resulting from a previous thoracic injury.
- ✓In cases of thoracic injuries due to external causes such as accidents or assaults.
When NOT to Use:
- ✗For congenital thoracic anomalies.
- ✗When the injury is not located in the thorax.
- ✗For conditions that are not injuries, such as infections or tumors.
- ✗When the injury is only suspected, but not confirmed.
Code Exclusions
Always verify exclusions by cross-referencing with the patient's medical record and the ICD-10 manual.
Documentation Requirements
Documentation for thoracic injuries should include the nature, location, and severity of the injury, as well as any associated conditions or complications. The cause of the injury should also be documented, if known.
Clinical Information:
- •Nature of the injury
- •Location of the injury within the thorax
- •Severity of the injury
- •Associated conditions or complications
- •Cause of the injury, if known
Supporting Evidence:
- •Medical history
- •Physical examination findings
- •Imaging studies
- •Operative reports
Good Documentation Example:
Patient presents with a fractured rib on the right side due to a fall. The fracture is confirmed by X-ray.
Poor Documentation Example:
Patient has chest pain.
Common Documentation Errors:
- âš Not specifying the location of the injury
- âš Omitting details about the cause of the injury
- âš Not documenting associated conditions or complications
- âš Using an incorrect code for the nature of the injury
Range Statistics
Coding Complexity
Coding for thoracic injuries can be complex due to the need to accurately capture the nature, location, and severity of the injury, as well as any associated conditions or complications. The cause of the injury also needs to be coded, if known. There are many subcategories within this range, which can make navigation challenging.
Key Factors:
- â–¸Determining the correct code for the nature of the injury
- â–¸Identifying and coding for associated conditions or complications
- â–¸Coding for the cause of the injury, if known
- â–¸Navigating the many subcategories within this range
Specialty Focus
These codes are primarily used by emergency medicine, general surgery, and orthopedics. They may also be used by other specialties in the context of multi-disciplinary care.
Primary Specialties:
Clinical Scenarios:
- • A patient presents to the ER with a stab wound to the chest.
- • A patient is seen in the clinic for follow-up after surgical repair of a fractured sternum.
- • A patient is admitted to the hospital for management of complications from a previous thoracic injury.
- • A patient is seen in the orthopedic clinic for ongoing management of a chronic condition resulting from a previous thoracic injury.
Resources & References
Resources for coding thoracic injuries include the ICD-10 manual, professional coding organizations, and continuing education courses. Clinical references such as textbooks and journal articles can also be useful.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Health Information Management Association (AHIMA)
- American Academy of Professional Coders (AAPC)
Clinical References:
- Harrison's Principles of Internal Medicine
- Journal of Trauma and Acute Care Surgery
Educational Materials:
- ICD-10 coding courses
- Webinars and workshops on injury coding
- Coding practice exercises
Frequently Asked Questions
How do I code for a thoracic injury with an unknown cause?
If the cause of the injury is unknown, you can use a code from the 'unspecified' subcategory. However, always strive to document as much information as possible.