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ICD-10 Guide
ICD-10 CodesS22.032

S22.032

Billable

Unstable burst fracture of third thoracic vertebra

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

Code Description

ICD-10 S22.032 is a billable code used to indicate a diagnosis of unstable burst fracture of third thoracic vertebra.

Key Diagnostic Point:

An unstable burst fracture of the third thoracic vertebra (T3) is a severe spinal injury characterized by the vertebral body being fractured in multiple directions, leading to potential spinal cord compromise and instability. This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The instability of the fracture can result in neurological deficits, including paralysis or sensory loss, depending on the extent of spinal cord involvement. Patients may present with severe back pain, difficulty in movement, and neurological symptoms. Management often requires surgical intervention to stabilize the spine, decompress the spinal cord, and prevent further injury. Post-operative care is crucial for recovery and may involve rehabilitation to restore function and mobility. The complexity of this condition necessitates thorough documentation of the mechanism of injury, neurological assessment, and treatment plan to ensure accurate coding and appropriate reimbursement.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of the mechanism of injury.
  • Involves assessment of neurological status and potential deficits.
  • Surgical interventions may vary, affecting coding.
  • Differentiation from stable fractures and other thoracic injuries.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to document neurological assessments.
  • Misclassification of fracture stability.
  • Lack of clarity on surgical interventions performed.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative assessments.

Common Clinical Scenarios

Surgical stabilization of unstable fractures, management of complications.

Billing Considerations

Ensure accurate documentation of surgical techniques and outcomes.

Emergency Medicine

Documentation Requirements

Comprehensive trauma assessments, imaging results, and initial treatment plans.

Common Clinical Scenarios

Initial evaluation of trauma patients with suspected spinal injuries.

Billing Considerations

Document all findings related to neurological status and mechanism of injury.

Coding Guidelines

Inclusion Criteria

Use S22.032 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, stability, and any associated injuries
  • Include details on the mechanism of injury and any surgical procedures performed
  • traumatic conditions

Exclusion Criteria

Do NOT use S22.032 When
  • Exclude codes for stable fractures or non

Related ICD-10 Codes

Related CPT Codes

22554CPT Code

Percutaneous vertebroplasty

Clinical Scenario

Used in cases of vertebral compression fractures.

Documentation Requirements

Document indications for vertebroplasty and imaging findings.

Specialty Considerations

Orthopedic or interventional radiology may perform this procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complex injuries like unstable burst fractures, improving the accuracy of patient records and reimbursement processes. This specificity aids in better tracking of outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complex injuries like unstable burst fractures, improving the accuracy of patient records and reimbursement processes. This specificity aids in better tracking of outcomes and resource utilization.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of 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 difference between stable and unstable burst fractures?

Stable burst fractures do not compromise spinal stability or neurological function, while unstable burst fractures involve significant vertebral body disruption and potential spinal cord injury, requiring surgical intervention.