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ICD-10 Guide
ICD-10 CodesS22.050

S22.050

Billable

Wedge compression fracture of T5-T6 vertebra

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

Code Description

ICD-10 S22.050 is a billable code used to indicate a diagnosis of wedge compression fracture of t5-t6 vertebra.

Key Diagnostic Point:

A wedge compression fracture of the T5-T6 vertebra occurs when the anterior portion of the thoracic vertebrae collapses, 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 chest trauma. Patients may present with acute back pain, difficulty breathing, and neurological deficits depending on the severity of the injury. The thoracic spine is critical for protecting the spinal cord and supporting the rib cage, and injuries in this area can lead to complications such as pneumothorax, hemothorax, and cardiac injuries. 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 interventions such as vertebroplasty or spinal fusion, depending on the fracture's stability and the patient's overall health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of vertebral fractures (compression vs. burst)
  • Identifying associated injuries (e.g., pneumothorax, hemothorax)
  • Understanding the implications of thoracic surgical interventions
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Incorrect coding of fracture type
  • Lack of clarity in surgical intervention documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of fracture type and any surgical procedures performed.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Initial evaluation of trauma patients with suspected chest injuries.

Billing Considerations

Documenting the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S22.050 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details about the mechanism of injury and any surgical interventions performed

Exclusion Criteria

Do NOT use S22.050 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Vertebroplasty

Clinical Scenario

Used in cases of unstable wedge compression fractures requiring stabilization.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of wedge compression fractures, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of wedge compression fractures, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of outcomes and resource utilization.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of outcomes and resource utilization.

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, and can also occur in patients with osteoporosis due to weakened bone structure.