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ICD-10 Guide
ICD-10 CodesS22.030

S22.030

Billable

Wedge compression fracture of third thoracic vertebra

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

Code Description

ICD-10 S22.030 is a billable code used to indicate a diagnosis of wedge compression fracture of third thoracic vertebra.

Key Diagnostic Point:

A wedge compression fracture of the third thoracic vertebra (T3) occurs when the vertebra collapses due to trauma, resulting in a wedge-shaped deformity. This type of fracture is often caused by high-energy impacts, such as those sustained in motor vehicle accidents or falls from significant heights. Patients may present with acute back pain, limited mobility, and neurological symptoms if there is spinal cord involvement. The thoracic spine is particularly vulnerable due to its structural characteristics and the protective role of the rib cage. Associated injuries may include rib fractures, pneumothorax, hemothorax, and cardiac injuries, necessitating a comprehensive evaluation. Diagnosis typically involves imaging studies such as X-rays, CT scans, or MRIs to assess the extent of the fracture and any potential complications. Treatment may range from conservative management, including pain control and physical therapy, to surgical interventions like vertebroplasty or spinal fusion, depending on the severity of the fracture and the patient's overall health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of thoracic fractures (compression vs. burst)
  • Potential for associated injuries (e.g., pneumothorax, hemothorax)
  • Need for precise documentation of fracture type and location
  • Variability in treatment approaches (conservative vs. surgical)

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Misclassification of fracture type
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes, and post-operative assessments.

Common Clinical Scenarios

Management of acute thoracic fractures, surgical interventions for stabilization.

Billing Considerations

Ensure accurate documentation of fracture type and any neurological assessments.

Emergency Medicine

Documentation Requirements

Comprehensive trauma assessments, imaging results, and treatment plans.

Common Clinical Scenarios

Initial evaluation of trauma patients with suspected thoracic injuries.

Billing Considerations

Document mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S22.030 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S22.030 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Vertebroplasty

Clinical Scenario

Used for stabilization of wedge compression fractures.

Documentation Requirements

Pre-operative imaging, surgical notes, and post-operative follow-up.

Specialty Considerations

Orthopedic surgeons must document the indication for surgery and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of wedge compression fractures, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of wedge compression fractures, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource utilization.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource utilization.

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 primary cause of a wedge compression fracture?

Wedge compression fractures are primarily caused by trauma, such as falls or motor vehicle accidents, but can also occur in patients with osteoporosis or other conditions that weaken bone density.