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ICD-10 Guide
ICD-10 CodesS22.020

S22.020

Billable

Wedge compression fracture of second thoracic vertebra

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

Code Description

ICD-10 S22.020 is a billable code used to indicate a diagnosis of wedge compression fracture of second thoracic vertebra.

Key Diagnostic Point:

A wedge compression fracture of the second thoracic vertebra (T2) occurs when the vertebra is compressed, leading to a wedge-shaped deformity. This type of fracture is often the result of trauma, such as a fall or a motor vehicle accident, and can be associated with significant pain and functional impairment. Patients may present with localized back pain, tenderness over the thoracic spine, and potential neurological deficits if spinal cord injury occurs. The thoracic spine is crucial for protecting the spinal cord and supporting the rib cage, and injuries here can lead to complications such as pneumothorax or hemothorax due to rib fractures. Diagnosis typically involves imaging studies, such as X-rays or MRI, 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 cases of instability or neurological compromise. Understanding the implications of a wedge compression fracture is essential for managing potential complications and ensuring appropriate follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires accurate identification of the specific vertebra involved.
  • Differentiation from other types of thoracic fractures.
  • Potential for associated injuries complicating the clinical picture.
  • Need for precise documentation of trauma mechanism and patient symptoms.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to document associated injuries such as pneumothorax or hemothorax.
  • Misidentification of the vertebra involved in the fracture.
  • Lack of follow-up documentation on treatment outcomes.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes, and follow-up assessments.

Common Clinical Scenarios

Management of traumatic fractures, surgical interventions for stabilization.

Billing Considerations

Documentation must clearly indicate the type of fracture and any surgical procedures performed.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Acute management of trauma patients presenting with chest injuries.

Billing Considerations

Accurate documentation of the mechanism of injury and associated complications is critical.

Coding Guidelines

Inclusion Criteria

Use S22.020 When
  • According to ICD
  • 10 guidelines, S22
  • 020 should be used when a wedge compression fracture of the second thoracic vertebra is confirmed
  • It is essential to document the mechanism of injury and any associated conditions, such as rib fractures or pneumothorax, to ensure accurate coding

Exclusion Criteria

Do NOT use S22.020 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Vertebroplasty

Clinical Scenario

Used for stabilization of a wedge compression fracture.

Documentation Requirements

Pre-operative imaging and surgical notes.

Specialty Considerations

Orthopedic surgeons must document the indication for the procedure clearly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to identify the exact vertebra involved, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to identify the exact vertebra involved, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to identify the exact vertebra involved, which enhances the accuracy of patient records and treatment plans.

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 primary cause of a wedge compression fracture?

Wedge compression fractures are primarily caused by trauma, such as falls or motor vehicle accidents, but can also occur due to conditions like osteoporosis.