ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS22.000

S22.000

Billable

Wedge compression fracture of unspecified thoracic vertebra

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/23/2025

Code Description

ICD-10 S22.000 is a billable code used to indicate a diagnosis of wedge compression fracture of unspecified thoracic vertebra.

Key Diagnostic Point:

A wedge compression fracture of the thoracic vertebra occurs when the vertebra collapses or is compressed, resulting in a wedge-shaped deformity. This type of fracture is often caused by trauma, such as a fall or a motor vehicle accident, and can lead to significant pain and functional impairment. Patients may present with acute back pain, limited mobility, and neurological symptoms if there is spinal cord involvement. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the extent of the fracture and any associated injuries. Treatment may include conservative management with pain control and physical therapy, or surgical intervention in more severe cases. It is crucial to monitor for complications such as pneumothorax, hemothorax, or cardiac injuries, which can occur due to associated chest trauma. Accurate coding of this condition is essential for proper reimbursement and to reflect the severity of the patient's injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of fracture type and location
  • Need for precise imaging results to confirm diagnosis
  • Potential for associated injuries complicating coding
  • Differentiation from other types of thoracic fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries (e.g., pneumothorax)
  • Lack of imaging reports to support diagnosis
  • Incorrect coding of fracture type or location

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed imaging reports, treatment plans, and follow-up notes.

Common Clinical Scenarios

Management of acute thoracic fractures, post-operative care, and rehabilitation.

Billing Considerations

Ensure clear documentation of fracture type and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

Comprehensive trauma assessments, imaging results, and initial treatment documentation.

Common Clinical Scenarios

Acute trauma cases presenting with chest pain and back injuries.

Billing Considerations

Document all associated injuries and the mechanism of injury for accurate coding.

Coding Guidelines

Inclusion Criteria

Use S22.000 When
  • Follow official ICD
  • CM guidelines for coding fractures, ensuring to capture the specific type of fracture and any associated injuries
  • Use additional codes for complications such as pneumothorax or hemothorax when applicable

Exclusion Criteria

Do NOT use S22.000 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Percutaneous vertebroplasty

Clinical Scenario

Used for patients with significant pain from wedge compression fractures.

Documentation Requirements

Document indication for procedure and imaging findings.

Specialty Considerations

Orthopedic specialists should ensure clear documentation of fracture type and treatment rationale.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of thoracic fractures, improving the accuracy of patient records and reimbursement processes. S22.000 provides a clear framework for documenting wedge compression fractures, which can lead to better patient management and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of thoracic fractures, improving the accuracy of patient records and reimbursement processes. S22.000 provides a clear framework for documenting wedge compression fractures, which can lead to better patient management and outcomes.

Reimbursement & Billing Impact

reimbursement processes. S22.000 provides a clear framework for documenting wedge compression fractures, which can lead to better patient management and outcomes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a wedge compression fracture and other types of vertebral fractures?

A wedge compression fracture specifically refers to the collapse of a vertebra resulting in a wedge shape, often due to trauma or osteoporosis, whereas other types of fractures may involve complete breaks or different patterns of injury.