ICDcodes.org
FY2027

S22 — Fracture of rib(s), sternum and thoracic spine

Not billable

Is S22 billable?

No — S22 is a non-billable header code. S22 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 60 billable codes beneath S22.

Billable codes under this header

S22 at a glance

CodeS22
DescriptionFracture of rib(s), sternum and thoracic spine
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes1 — never code together

The conditions below can never be reported together with S22 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • transection of thorax (S28.1)

Code first

The underlying condition below must be sequenced before S22. S22 describes a manifestation and cannot be the principal or first-listed diagnosis.

Excludes2 — not included here

The conditions below are not part of S22, but a patient may have both at the same time. When documentation supports it, S22 and the excluded code may both be reported.

Code also

Two codes may be needed to describe the condition fully. Whether S22 is sequenced first depends on the reason for the encounter.

  • , if applicable, any associated condition such as:
  • injury of intrathoracic organ (S27.-)
  • traumatic hemopneumothorax (S27.2)
  • traumatic hemothorax (S27.1-)
  • traumatic pneumothorax (S27.0)

Includes

Conditions classified to S22.

  • fracture of thoracic neural arch
  • fracture of thoracic spinous process
  • fracture of thoracic transverse process
  • fracture of thoracic vertebra
  • fracture of thoracic vertebral arch

Note

  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed

Use additional code — inherited from Chapter 19

Report an additional code alongside S22 to fully describe the condition. S22 is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of S22, but a patient may have both at the same time. When documentation supports it, S22 and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S20-S29

The conditions below are not part of S22, but a patient may have both at the same time. When documentation supports it, S22 and the excluded code may both be reported.

  • burns and corrosions (T20-T32)
  • effects of foreign body in bronchus (T17.5)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in lung (T17.8)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • injuries of axilla
  • injuries of clavicle
  • injuries of scapular region
  • injuries of shoulder
  • insect bite or sting, venomous (T63.4)

What codes fall under S22? (6)

How long has S22 existed?

S22 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with S22?

ICD-10-CM declares these codes mutually exclusive with S22 — exactly one of each pair can be correct for a given encounter.