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ICD-10 Guide
ICD-10 CodesS22.07

S22.07

Billable

Fracture of T9-T10 vertebra

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

Code Description

ICD-10 S22.07 is a billable code used to indicate a diagnosis of fracture of t9-t10 vertebra.

Key Diagnostic Point:

The S22.07 code refers to a fracture of the T9 and T10 vertebrae, which are located in the thoracic region of the spine. This type of fracture is often the result of trauma, such as a fall, motor vehicle accident, or sports injury. Patients may present with severe back pain, neurological deficits, or signs of spinal cord injury. The thoracic spine is critical for protecting the spinal cord and supporting the rib cage, and fractures in this area can lead to complications such as pneumothorax, hemothorax, or cardiac injuries due to the proximity of the thoracic cavity. 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 vary from conservative management, including pain control and physical therapy, to surgical interventions like vertebroplasty or spinal fusion, depending on the severity and stability of the fracture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between stable and unstable fractures
  • Potential for associated injuries (e.g., pneumothorax, hemothorax)
  • Need for precise documentation of fracture type and location
  • Variability in treatment approaches based on patient condition

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Incorrect coding of fracture type (e.g., compression vs. burst)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes, and post-operative assessments.

Common Clinical Scenarios

Fractures requiring surgical intervention, conservative management cases, and follow-up care.

Billing Considerations

Ensure accurate documentation of fracture stability and any neurological assessments.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments, including mechanism of injury and associated injuries.

Common Clinical Scenarios

Multi-system trauma cases with thoracic injuries, emergency interventions.

Billing Considerations

Document all associated injuries and their management to support coding.

Coding Guidelines

Inclusion Criteria

Use S22.07 When
  • According to ICD
  • 10 guidelines, S22
  • 07 should be used when the fracture is confirmed through imaging
  • It is important to document the type of fracture (e
  • , compression, burst) and any associated injuries

Exclusion Criteria

Do NOT use S22.07 When
  • Exclusions include fractures that are not acute or those that are pathologic in nature

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Vertebroplasty

Clinical Scenario

Used for stabilization of T9-T10 fractures.

Documentation Requirements

Pre-operative imaging, surgical notes, and post-operative assessments.

Specialty Considerations

Orthopedic documentation must detail the fracture type and treatment rationale.

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. S22.07 provides a clear indication of the fracture site, which is essential for treatment planning and outcome tracking.

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. S22.07 provides a clear indication of the fracture site, which is essential for treatment planning and outcome tracking.

Reimbursement & Billing Impact

reimbursement processes. S22.07 provides a clear indication of the fracture site, which is essential for treatment planning and outcome tracking.

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 complications associated with T9-T10 fractures?

Common complications include pneumothorax, hemothorax, spinal cord injury, and respiratory distress due to compromised thoracic stability.