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ICD-10 Guide
ICD-10 CodesS22.06

S22.06

Billable

Fracture of T7-T8 vertebra

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

Code Description

ICD-10 S22.06 is a billable code used to indicate a diagnosis of fracture of t7-t8 vertebra.

Key Diagnostic Point:

The S22.06 code refers to a fracture of the T7 and T8 vertebrae, which are located in the thoracic region of the spine. This type of fracture is often the result of significant trauma, such as a fall, motor vehicle accident, or sports injury. Patients may present with severe back pain, limited mobility, and neurological deficits depending on the severity of the fracture and any associated spinal cord injury. Chest trauma is a common concern with thoracic vertebral fractures, as the ribs and surrounding structures may also be affected. Complications can include rib fractures, pneumothorax (air in the pleural space), hemothorax (blood in the pleural space), and potential cardiac injuries due to the proximity of the thoracic cavity to vital organs. Surgical interventions may be necessary for stabilization, which can include vertebroplasty or spinal fusion. Accurate coding requires careful documentation of the mechanism of injury, associated injuries, and any surgical procedures performed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and location
  • Potential for associated injuries (e.g., rib fractures, pneumothorax)
  • Variability in treatment approaches (surgical vs. conservative)
  • Differentiation from other thoracic spine fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Incorrect coding of fracture type (e.g., open vs. closed)
  • Lack of clarity on surgical interventions performed

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes.

Common Clinical Scenarios

Fracture stabilization, spinal fusion, and management of complications.

Billing Considerations

Ensure documentation reflects the complexity of the injury and any surgical techniques used.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

Initial evaluation of trauma patients, management of acute pain, and referral for surgical intervention.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S22.06 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S22.06 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Vertebral augmentation

Clinical Scenario

Used for stabilization of T7-T8 fractures.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the necessity of the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of thoracic spine fractures, improving the accuracy of data collection and reimbursement processes. S22.06 provides granularity that was not available in ICD-9, allowing for better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of thoracic spine fractures, improving the accuracy of data collection and reimbursement processes. S22.06 provides granularity that was not available in ICD-9, allowing for better tracking of treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. S22.06 provides granularity that was not available in ICD-9, allowing for better tracking of treatment 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 are the common causes of T7-T8 vertebra fractures?

Common causes include high-energy trauma such as motor vehicle accidents, falls from heights, and sports injuries. Osteoporosis can also lead to fractures from low-energy falls.