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ICD-10 Guide
ICD-10 CodesS22.048

S22.048

Billable

Other fracture of fourth thoracic vertebra

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

Code Description

ICD-10 S22.048 is a billable code used to indicate a diagnosis of other fracture of fourth thoracic vertebra.

Key Diagnostic Point:

The S22.048 code refers to a fracture of the fourth thoracic vertebra that does not fall into the more specific categories of fractures, such as those that are classified as pathological or stress fractures. This type of fracture can occur due to various mechanisms, including trauma from falls, motor vehicle accidents, or sports injuries. Patients may present with significant back pain, neurological deficits, or other complications such as pneumothorax or hemothorax, particularly if the fracture is associated with rib injuries. The thoracic spine is critical for protecting the spinal cord and supporting the rib cage, and fractures in this area can lead to serious complications. Management may involve conservative treatment, such as bracing and pain management, or surgical intervention if there is spinal instability or neurological compromise. Accurate coding is essential for appropriate treatment planning and reimbursement, as well as for tracking outcomes in patients with thoracic spine injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and associated injuries
  • Need for detailed documentation of mechanism of injury
  • Potential for complications such as pneumothorax or hemothorax
  • Differentiation from other thoracic vertebra fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries (e.g., rib fractures)
  • Misclassification of fracture type
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

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

Common Clinical Scenarios

Fractures due to falls, sports injuries, or motor vehicle accidents.

Billing Considerations

Documentation must clearly indicate the type of fracture and any associated injuries.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with acute back pain after trauma.

Billing Considerations

Timely documentation is crucial for accurate coding and treatment planning.

Coding Guidelines

Inclusion Criteria

Use S22.048 When
  • According to ICD
  • 10 coding guidelines, S22
  • 048 should be used when the fracture is confirmed through imaging and is not classified under other specific fracture codes
  • Documentation must support the diagnosis, including the mechanism of injury and any associated complications

Exclusion Criteria

Do NOT use S22.048 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Percutaneous vertebroplasty

Clinical Scenario

Used for stabilization of vertebral fractures, including S22.048.

Documentation Requirements

Pre-operative imaging, consent forms, and post-operative follow-up notes.

Specialty Considerations

Orthopedic surgeons must document the necessity of the procedure based on fracture severity.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of thoracic vertebra fractures, improving the accuracy of patient records and facilitating better treatment planning. S22.048 provides a clear classification for fractures that do not fit into more specific categories, enhancing data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of thoracic vertebra fractures, improving the accuracy of patient records and facilitating better treatment planning. S22.048 provides a clear classification for fractures that do not fit into more specific categories, enhancing data collection and analysis.

Reimbursement & Billing Impact

reimbursement and tracking patient 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 significance of coding S22.048 accurately?

Accurate coding of S22.048 is crucial for appropriate treatment planning, reimbursement, and tracking patient outcomes. It ensures that healthcare providers can effectively manage and document the care of patients with thoracic vertebra fractures.