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ICD-10 Guide
ICD-10 CodesS22.24

S22.24

Billable

Fracture of xiphoid process

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

Code Description

ICD-10 S22.24 is a billable code used to indicate a diagnosis of fracture of xiphoid process.

Key Diagnostic Point:

A fracture of the xiphoid process, the small cartilaginous extension of the sternum, can occur due to blunt trauma to the chest, often resulting from falls, motor vehicle accidents, or direct blows. This injury may be associated with other thoracic injuries, including rib fractures, pneumothorax, hemothorax, and cardiac injuries. The xiphoid process is located at the inferior end of the sternum and is susceptible to fracture due to its position and the forces exerted during trauma. Symptoms may include localized pain, tenderness, and difficulty breathing. In some cases, the fracture may be asymptomatic but can lead to complications such as damage to underlying structures, including the diaphragm and major blood vessels. Diagnosis typically involves physical examination and imaging studies, such as X-rays or CT scans, to assess the extent of the injury and rule out associated injuries. Treatment may vary from conservative management, including pain control and activity modification, to surgical intervention in cases of significant displacement or associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Potential for associated injuries complicating diagnosis and treatment.
  • Variability in presentation and symptoms among patients.
  • Need for imaging studies to confirm diagnosis.
  • Differentiation from other thoracic injuries.

Audit Risk Factors

  • Inadequate documentation of trauma mechanism.
  • Failure to document associated injuries.
  • Misclassification of the fracture type.
  • Lack of imaging results in the medical record.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the mechanism of injury, physical exam findings, and imaging results.

Common Clinical Scenarios

Patients presenting with chest pain after trauma, suspected rib fractures, or respiratory distress.

Billing Considerations

Ensure thorough documentation of all associated injuries and treatments provided.

Orthopedic Surgery

Documentation Requirements

Surgical notes detailing the procedure, findings, and post-operative care.

Common Clinical Scenarios

Patients requiring surgical intervention for displaced xiphoid fractures or associated injuries.

Billing Considerations

Document any complications or additional procedures performed during surgery.

Coding Guidelines

Inclusion Criteria

Use S22.24 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, associated injuries, and treatment provided
  • Include details on the mechanism of injury and any imaging studies performed

Exclusion Criteria

Do NOT use S22.24 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20680CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used when a patient with a xiphoid process fracture requires aspiration of a hematoma.

Documentation Requirements

Document the indication for the procedure and the findings during aspiration.

Specialty Considerations

Ensure that the procedure is clearly linked to the diagnosis of xiphoid process fracture.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including the xiphoid process, which enhances the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the xiphoid process, which enhances the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 symptoms of a xiphoid process fracture?

Common symptoms include localized pain at the lower sternum, tenderness, and difficulty breathing. Some patients may also experience referred pain to the abdomen.