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ICD-10 Guide
ICD-10 CodesS22.22

S22.22

Billable

Fracture of body of sternum

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

Code Description

ICD-10 S22.22 is a billable code used to indicate a diagnosis of fracture of body of sternum.

Key Diagnostic Point:

A fracture of the body of the sternum is a type of chest trauma that can occur due to blunt force impact, such as in motor vehicle accidents, falls, or sports injuries. The sternum, or breastbone, is a flat bone located in the center of the chest, connecting to the ribs via cartilage. Fractures in this area can lead to significant pain, difficulty breathing, and potential complications such as pneumothorax (air in the pleural space), hemothorax (blood in the pleural space), or cardiac injuries due to the proximity of the heart. Patients may present with localized tenderness, swelling, and bruising over the sternum, and may require imaging studies such as X-rays or CT scans for diagnosis. Treatment typically involves pain management, monitoring for complications, and in severe cases, surgical intervention may be necessary to stabilize the fracture or address associated injuries. Understanding the implications of a sternal fracture is crucial for proper management and coding, as it can affect the patient's overall treatment plan and recovery trajectory.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of chest trauma
  • Identifying associated injuries (e.g., pneumothorax, hemothorax)
  • Understanding the need for surgical intervention
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries
  • Misclassification of the type of fracture
  • Lack of follow-up documentation for complications

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, requiring imaging and potential surgical evaluation.

Billing Considerations

Ensure documentation reflects the severity of the injury and any immediate interventions performed.

Thoracic Surgery

Documentation Requirements

Operative reports detailing the surgical approach, findings, and any repairs made.

Common Clinical Scenarios

Patients requiring surgical stabilization of a sternal fracture or repair of associated injuries.

Billing Considerations

Accurate coding of surgical procedures performed in conjunction with the fracture repair.

Coding Guidelines

Inclusion Criteria

Use S22.22 When
  • According to ICD
  • 10 coding guidelines, S22
  • 22 should be used for fractures of the body of the sternum
  • It is important to document the specific type of fracture and any associated injuries

Exclusion Criteria

Do NOT use S22.22 When
  • Exclusion criteria include fractures of the manubrium or xiphoid process, which are coded separately

Related ICD-10 Codes

Related CPT Codes

20680CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used if there is a need to drain a hemothorax associated with a sternal fracture.

Documentation Requirements

Document the indication for the procedure and findings.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of sternal fracture.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of patient 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 are the common complications associated with a sternal fracture?

Common complications include pneumothorax, hemothorax, and potential cardiac injuries due to the proximity of the sternum to the heart. Monitoring for these complications is crucial in the management of patients with sternal fractures.