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ICD-10 Guide
ICD-10 CodesS22.061

S22.061

Billable

Stable burst fracture of T7-T8 vertebra

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

Code Description

ICD-10 S22.061 is a billable code used to indicate a diagnosis of stable burst fracture of t7-t8 vertebra.

Key Diagnostic Point:

A stable burst fracture of the T7-T8 vertebra is a type of spinal injury characterized by the compression and fragmentation of the vertebral body without significant displacement or instability. This injury typically occurs due to high-energy trauma, such as falls or motor vehicle accidents, and can lead to varying degrees of pain and functional impairment. The thoracic spine is particularly vulnerable to such injuries due to its anatomical structure and the forces exerted during trauma. Patients may present with localized pain, tenderness, and potential neurological deficits depending on the extent of the injury. Diagnostic imaging, such as X-rays or MRI, is essential for confirming the diagnosis and assessing the integrity of surrounding structures. Management often involves conservative treatment, including pain management and physical therapy, although surgical intervention may be necessary in cases of associated complications or instability. Understanding the implications of this fracture is crucial, as it can be associated with other thoracic injuries, including rib fractures, pneumothorax, and hemothorax, which may complicate the clinical picture and require comprehensive evaluation and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of spinal anatomy and injury mechanisms
  • Differentiation from other types of vertebral fractures
  • Potential for associated injuries complicating the clinical picture
  • Need for precise documentation of imaging findings

Audit Risk Factors

  • Inadequate documentation of imaging results
  • Failure to note associated injuries
  • Misclassification of fracture type
  • Lack of clarity on treatment plan

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Management of stable versus unstable fractures, surgical interventions, and rehabilitation protocols.

Billing Considerations

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

Emergency Medicine

Documentation Requirements

Thorough documentation of initial assessment, imaging, and any immediate interventions performed.

Common Clinical Scenarios

Initial evaluation of trauma patients with suspected spinal injuries.

Billing Considerations

Accurate coding requires clear documentation of the mechanism of injury and any neurological assessments.

Coding Guidelines

Inclusion Criteria

Use S22.061 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, stability, and any associated injuries
  • Include details from imaging studies and clinical assessments to support the diagnosis

Exclusion Criteria

Do NOT use S22.061 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22554CPT Code

Percutaneous vertebroplasty

Clinical Scenario

Used in cases where stabilization of the fracture is required.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the rationale for choosing vertebroplasty over other interventions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of spinal injuries, improving the accuracy of data collection and reimbursement processes. S22.061 provides a clear distinction between stable and unstable fractures, which is critical for treatment planning and outcomes assessment.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spinal injuries, improving the accuracy of data collection and reimbursement processes. S22.061 provides a clear distinction between stable and unstable fractures, which is critical for treatment planning and outcomes assessment.

Reimbursement & Billing Impact

reimbursement processes. S22.061 provides a clear distinction between stable and unstable fractures, which is critical for treatment planning and outcomes assessment.

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 stable and unstable burst fractures?

Stable burst fractures maintain spinal alignment and do not compromise neurological function, while unstable fractures may lead to spinal deformity or neurological deficits.