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ICD-10 Guide
ICD-10 CodesS22.32

S22.32

Billable

Fracture of one rib, left side

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

Code Description

ICD-10 S22.32 is a billable code used to indicate a diagnosis of fracture of one rib, left side.

Key Diagnostic Point:

A fracture of one rib on the left 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, respiratory distress, and complications such as pneumothorax (air in the pleural space) or hemothorax (blood in the pleural space). The left ribs protect vital organs, including the heart and spleen, making injuries in this area particularly concerning. Patients may present with localized tenderness, crepitus, and difficulty breathing. Diagnosis is often confirmed through imaging studies, such as chest X-rays or CT scans. Treatment generally involves pain management, respiratory support, and monitoring for complications. In some cases, surgical intervention may be necessary, especially if there is a risk of injury to underlying structures or if the fracture is displaced. Understanding the implications of rib fractures is crucial for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between simple and complex rib fractures
  • Identifying associated injuries (e.g., pneumothorax, hemothorax)
  • Documenting the mechanism of injury accurately
  • Understanding the need for potential surgical interventions

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated complications
  • Misclassification of the type of rib fracture
  • Inconsistent coding of follow-up visits

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with chest pain after trauma, difficulty breathing, or signs of respiratory distress.

Billing Considerations

Ensure that all associated injuries are documented to support coding for complications.

Orthopedic Surgery

Documentation Requirements

Surgical notes detailing the procedure performed, indications for surgery, and post-operative care.

Common Clinical Scenarios

Patients requiring surgical intervention for displaced rib fractures or those with complications.

Billing Considerations

Document the rationale for surgical intervention and any complications encountered during surgery.

Coding Guidelines

Inclusion Criteria

Use S22.32 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type and any associated complications
  • Include details on the mechanism of injury and any relevant imaging findings

Exclusion Criteria

Do NOT use S22.32 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 rib fracture leads to a need for drainage of a hemothorax.

Documentation Requirements

Document the indication for the procedure and any imaging findings.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of rib fracture.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rib fractures, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of complications associated with rib fractures.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rib fractures, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of complications associated with rib fractures.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of complications associated with rib fractures.

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 rib fractures?

Common complications include pneumothorax, hemothorax, and injury to underlying organs such as the spleen or liver. These complications can significantly impact the patient's treatment and recovery.