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ICD-10 Guide
ICD-10 CodesChapter 19: Injury, poisoning and other consequences of external causesS22

S22

Non-billable

Fracture of rib(s), sternum and thoracic spine

Chapter 19:Injury, poisoning and other consequences of external causes

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 S22 is a used to indicate a diagnosis of fracture of rib(s), sternum and thoracic spine.

Key Diagnostic Point:

The ICD-10 Level 1 Category code S22 encompasses fractures of the ribs, sternum, and thoracic spine. These injuries can result from various mechanisms, including trauma, falls, or accidents, and can range from simple fractures to more complex injuries involving multiple ribs or associated structures. Clinically, rib fractures may lead to complications such as pneumothorax, hemothorax, or respiratory distress, making prompt diagnosis and management critical. The sternum, being a central component of the thoracic skeleton, can also be fractured in high-impact injuries, necessitating careful evaluation to rule out associated cardiac or vascular injuries. The thoracic spine fractures may involve vertebral body compression or fractures, which can lead to significant morbidity if not addressed appropriately.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of fracture types
  • Potential for complications
  • Need for imaging studies

Audit Risk Factors

  • Inadequate documentation of injury mechanism
  • Failure to report associated injuries
  • Incorrect coding of fracture type

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of S22 codes is significant, as they relate to common injuries that can affect a patient's respiratory function and overall mobility. Accurate coding and documentation can influence quality measures and patient outcomes, particularly in trauma care settings. Administratively, these codes can affect healthcare trends, as they provide data for understanding injury patterns, resource allocation, and the effectiveness of treatment protocols in managing thoracic injuries.

ICD-9 vs ICD-10

The clinical impact of S22 codes is significant, as they relate to common injuries that can affect a patient's respiratory function and overall mobility. Accurate coding and documentation can influence quality measures and patient outcomes, particularly in trauma care settings. Administratively, these codes can affect healthcare trends, as they provide data for understanding injury patterns, resource allocation, and the effectiveness of treatment protocols in managing thoracic injuries.

Reimbursement & Billing Impact

Reimbursement may vary based on the complexity of the injury, the setting of care, and the payer's policies. Providers should be aware of the need for detailed documentation to justify the medical necessity of imaging studies and any surgical interventions that may be required for managing these fractures.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for S22

Coding & Billing References

  • •
    Official ICD-10 Guidelines for S22

Frequently Asked Questions

What conditions are included in S22?

S22 includes fractures of the ribs, sternum, and thoracic vertebrae. It covers both isolated fractures and those that are part of more complex injuries involving the thoracic cage.

When should I use S22 codes?

S22 codes should be used when a patient presents with a documented fracture of the ribs, sternum, or thoracic spine, particularly in cases of trauma or significant pain in the thoracic region.

What documentation is required for S22?

Documentation should include the mechanism of injury, specific location and type of fracture, any associated injuries, and the results of imaging studies that confirm the diagnosis.