Fracture of one rib, right side
ICD-10 S22.31 is a billable code used to indicate a diagnosis of fracture of one rib, right side.
A fracture of one rib on the right side typically occurs due to blunt trauma to the chest, such as from a fall, motor vehicle accident, or sports injury. Rib fractures can lead to significant pain, especially during breathing, coughing, or movement. The right side of the rib cage houses vital organs, including the right lung and liver, making it crucial to assess for complications such as pneumothorax (air in the pleural space) or hemothorax (blood in the pleural space). These complications can arise if the fractured rib punctures the pleura or injures surrounding blood vessels. Patients may present with localized tenderness, crepitus, and difficulty breathing. Diagnosis is typically confirmed through imaging studies such as chest X-rays or CT scans. Treatment often involves pain management, respiratory therapy, and monitoring for complications. In severe cases, surgical intervention may be necessary to stabilize the rib or address associated injuries. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.
Detailed account of the mechanism of injury, physical examination findings, and imaging results.
Patients presenting with chest pain after trauma, difficulty breathing, or signs of respiratory distress.
Ensure documentation reflects the urgency of the situation and any immediate interventions performed.
Comprehensive surgical notes if intervention is performed, including pre-operative assessments and post-operative care.
Patients requiring surgical stabilization of rib fractures or those with complications such as flail chest.
Document any associated injuries and the rationale for surgical intervention.
Used in cases where rib fractures lead to complications requiring drainage.
Document the indication for the procedure and any imaging guidance used.
Orthopedic specialists may need to provide detailed operative notes.
Rib fractures are primarily caused by blunt trauma, which can occur from falls, vehicle accidents, or direct blows to the chest.
Rib fractures can puncture the pleura, leading to pneumothorax or hemothorax, which can compromise respiratory function and require immediate medical intervention.
