ICDcodes.org
FY2027

S22.4 — Multiple fractures of ribs

Not billable

Is S22.4 billable?

No — S22.4 is a non-billable header code. S22.4 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 24 billable codes beneath S22.4.

Billable codes under this header

S22.4 at a glance

CodeS22.4
DescriptionMultiple fractures of ribs
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

How is S22.4 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to S22.4. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Fracture, traumatic › rib › multiple (abduction) (adduction) (separation)
  • Fracture, traumatic › thorax › rib › multiple (abduction) (adduction) (separation)

Excludes1 — never code together

The conditions below can never be reported together with S22.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Inclusion terms

Alternative wording in documentation that is classified to S22.4.

  • Fractures of two or more ribs

Excludes1 — never code together — inherited from S22

The conditions below can never be reported together with S22.4 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 — inherited from S22

The underlying condition below must be sequenced before S22.4. S22.4 describes a manifestation and cannot be the principal or first-listed diagnosis.

Use additional code — inherited from Chapter 19

Report an additional code alongside S22.4 to fully describe the condition. S22.4 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 S22.4, but a patient may have both at the same time. When documentation supports it, S22.4 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 S22.4, but a patient may have both at the same time. When documentation supports it, S22.4 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)

Excludes2 — not included here — inherited from S22

The conditions below are not part of S22.4, but a patient may have both at the same time. When documentation supports it, S22.4 and the excluded code may both be reported.

Code also — inherited from S22

Two codes may be needed to describe the condition fully. Whether S22.4 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)

What codes fall under S22.4? (4)

How long has S22.4 existed?

S22.4 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 S22.4?

ICD-10-CM declares these codes mutually exclusive with S22.4 — exactly one of each pair can be correct for a given encounter.

What other codes are in the S22 family? (5)