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ICD-10 Guide
ICD-10 CodesS22.39

S22.39

Billable

Fracture of one rib, unspecified side

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

Code Description

ICD-10 S22.39 is a billable code used to indicate a diagnosis of fracture of one rib, unspecified side.

Key Diagnostic Point:

A fracture of one rib, unspecified side, typically results from blunt trauma to the chest, such as in motor vehicle accidents, falls, or sports injuries. Rib fractures can lead to significant pain and respiratory complications, including pneumothorax (air in the pleural space) and hemothorax (blood in the pleural space). The rib cage serves to protect vital organs, including the heart and lungs, and fractures can compromise this protective function. Patients may present with localized pain, tenderness, and difficulty breathing. In severe cases, rib fractures can cause cardiac injuries or damage to the lungs, necessitating thoracic surgical interventions. Diagnosis is often confirmed through imaging studies such as chest X-rays or CT scans. Treatment typically involves pain management, respiratory therapy, and monitoring for complications. In some cases, surgical intervention may be required to stabilize the rib cage or address associated injuries. Accurate coding is essential for proper reimbursement and to reflect the severity of the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of rib fractures
  • Potential for associated injuries (e.g., pneumothorax, hemothorax)
  • Need for precise documentation of the mechanism of injury
  • Differentiation from other thoracic injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Misclassification of rib fractures as more severe injuries
  • Lack of follow-up documentation on treatment outcomes

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 documentation reflects the urgency of the situation and any immediate interventions performed.

Thoracic Surgery

Documentation Requirements

Comprehensive surgical notes detailing the procedure performed, indications for surgery, and postoperative care.

Common Clinical Scenarios

Patients requiring surgical intervention for rib stabilization or repair due to complications from rib fractures.

Billing Considerations

Accurate coding of associated procedures and complications is crucial for reimbursement.

Coding Guidelines

Inclusion Criteria

Use S22.39 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's nature, location, and any associated conditions
  • Include details on the mechanism of injury and any treatments provided

Exclusion Criteria

Do NOT use S22.39 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 in cases where rib fractures lead to complications requiring drainage.

Documentation Requirements

Document the indication for the procedure and the 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. S22.39 provides a clear designation for unspecified rib fractures, which can help in tracking injury patterns and outcomes.

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. S22.39 provides a clear designation for unspecified rib fractures, which can help in tracking injury patterns and outcomes.

Reimbursement & Billing Impact

reimbursement processes. S22.39 provides a clear designation for unspecified rib fractures, which can help in tracking injury patterns and outcomes.

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 S22.39 and S22.4?

S22.39 is used for a fracture of one rib, unspecified side, while S22.4 is for fractures of multiple ribs. Accurate documentation is essential to determine the correct code.