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ICD-10 Guide
ICD-10 CodesS22.08

S22.08

Billable

Fracture of T11-T12 vertebra

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

Code Description

ICD-10 S22.08 is a billable code used to indicate a diagnosis of fracture of t11-t12 vertebra.

Key Diagnostic Point:

The S22.08 code refers to a fracture of the T11 and T12 vertebrae, which are located in the thoracic region of the spine. These fractures often occur due to trauma, such as falls, motor vehicle accidents, or sports injuries. The thoracic vertebrae are crucial for supporting the rib cage and protecting the spinal cord. Fractures in this area can lead to significant complications, including instability of the spine, potential spinal cord injury, and associated injuries to the thoracic organs. Patients may present with severe back pain, difficulty breathing, and neurological deficits depending on the severity of the fracture. Diagnostic imaging, such as X-rays or MRI, is essential for assessing the extent of the injury. Treatment may involve conservative management, such as bracing and physical therapy, or surgical intervention, including vertebroplasty or spinal fusion, especially in cases of instability or neurological compromise. The management of T11-T12 fractures requires a multidisciplinary approach, often involving orthopedic surgeons, neurosurgeons, and rehabilitation specialists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types (compression, burst, etc.)
  • Potential for associated injuries (e.g., rib fractures, pneumothorax)
  • Need for precise documentation of imaging findings
  • Variations in treatment approaches (surgical vs. conservative)

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries (e.g., pneumothorax)
  • Lack of clarity on treatment plans (surgical vs. conservative)
  • Insufficient imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fracture stabilization, spinal fusion procedures, and management of complications.

Billing Considerations

Ensure clear documentation of the fracture type and any neurological assessments.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Management of acute trauma cases, including fractures and associated injuries.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S22.08 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type and any associated injuries
  • Include details on the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S22.08 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

22551CPT Code

Vertebroplasty

Clinical Scenario

Used for stabilization of T11-T12 fractures.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the fracture type and any pre-existing conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of thoracic spine injuries, improving the accuracy of data collection and reimbursement processes. S22.08 provides a clear distinction for T11-T12 fractures, enhancing clinical understanding and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of thoracic spine injuries, improving the accuracy of data collection and reimbursement processes. S22.08 provides a clear distinction for T11-T12 fractures, enhancing clinical understanding and management.

Reimbursement & Billing Impact

reimbursement processes. S22.08 provides a clear distinction for T11-T12 fractures, enhancing clinical understanding and management.

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 causes of T11-T12 vertebra fractures?

Common causes include falls, motor vehicle accidents, and sports injuries, particularly in individuals with weakened bone density.