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ICD-10 Guide
ICD-10 CodesS22.071

S22.071

Billable

Stable burst fracture of T9-T10 vertebra

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

Code Description

ICD-10 S22.071 is a billable code used to indicate a diagnosis of stable burst fracture of t9-t10 vertebra.

Key Diagnostic Point:

A stable burst fracture of the T9-T10 vertebra occurs when the vertebrae in the thoracic spine experience a fracture that results in the vertebral body being compressed and fragments being displaced, but without significant instability. This type of fracture is often caused by high-energy trauma, such as a fall from a height or a motor vehicle accident. Patients may present with localized pain, tenderness, and possible neurological deficits depending on the extent of spinal cord involvement. Diagnostic imaging, typically through X-rays or MRI, is essential for confirming the diagnosis and assessing the degree of injury. Management may include conservative treatment such as bracing and physical therapy, or surgical intervention if there is significant displacement or neurological compromise. The stable nature of this fracture indicates that the spinal column remains intact, which is crucial for determining the treatment approach and prognosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between stable and unstable fractures
  • Need for precise documentation of imaging findings
  • Potential for associated injuries (e.g., rib fractures, pneumothorax)
  • Variability in treatment approaches based on clinical presentation

Audit Risk Factors

  • Inadequate documentation of fracture stability
  • Failure to document associated injuries
  • Misclassification of fracture type
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Management of thoracic spine fractures, surgical interventions for instability.

Billing Considerations

Ensure clear documentation of fracture type and stability, as well as any surgical procedures performed.

Emergency Medicine

Documentation Requirements

Initial assessment notes, imaging results, and treatment plans.

Common Clinical Scenarios

Acute trauma cases presenting with chest pain and potential spinal injuries.

Billing Considerations

Thorough documentation of trauma mechanism and associated injuries is critical.

Coding Guidelines

Inclusion Criteria

Use S22.071 When
  • According to ICD
  • 10 guidelines, S22
  • 071 should be used when the fracture is confirmed as stable and specific to the T9
  • T10 vertebrae
  • It is important to document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S22.071 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 vertebra is necessary.

Documentation Requirements

Pre-operative imaging and post-operative follow-up notes.

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 has allowed for more specific coding of spinal injuries, improving the accuracy of diagnoses and treatment plans. S22.071 provides a clear distinction between stable and unstable fractures, which is crucial for appropriate management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of spinal injuries, improving the accuracy of diagnoses and treatment plans. S22.071 provides a clear distinction between stable and unstable fractures, which is crucial for appropriate management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of spinal injuries, improving the accuracy of diagnoses and treatment plans. S22.071 provides a clear distinction between stable and unstable fractures, which is crucial for appropriate management.

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 do not compromise spinal stability, while unstable fractures may lead to spinal cord injury or require surgical intervention.