S22.49XG — Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with delayed healing
Is S22.49XG billable?
Yes, but S22.49XG is an unspecified code. S22.49XG is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S22.49XG is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S22.49XG — the more specific alternatives are listed below.
More specific alternatives
- S22.41XGMultiple fractures of ribs, right side, subsequent encounter for fracture with delayed healing
- S22.42XGMultiple fractures of ribs, left side, subsequent encounter for fracture with delayed healing
- S22.43XGMultiple fractures of ribs, bilateral, subsequent encounter for fracture with delayed healing
S22.49XG at a glance
| Code | S22.49XG |
|---|---|
| Description | Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with delayed healing |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "G" | subsequent encounter for fracture with delayed healing |
What does the 7th character "G" mean in S22.49XG?
In S22.49XG, the 7th character G means subsequent encounter for fracture with delayed healing. The 7th character is required for S22.49XG to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
Which MS-DRGs does S22.49XG group to?
S22.49XG sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
- 560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
- 561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical
How is S22.49XG listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S22.4, the nearest indexed parent of S22.49XG. Use them to find the family, then select the specific code.
- Fracture, traumatic › rib › multiple (abduction) (adduction) (separation)
- Fracture, traumatic › thorax › rib › multiple (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S22
The conditions below can never be reported together with S22.49XG 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)
Excludes1 — never code together — inherited from S22.4
The conditions below can never be reported together with S22.49XG on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- flail chest (S22.5-)
Code first — inherited from S22
The underlying condition below must be sequenced before S22.49XG. S22.49XG describes a manifestation and cannot be the principal or first-listed diagnosis.
Use additional code — inherited from Chapter 19
Report an additional code alongside S22.49XG to fully describe the condition. S22.49XG 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 S22.49XG, but a patient may have both at the same time. When documentation supports it, S22.49XG and the excluded code may both be reported.
Excludes2 — not included here — inherited from S20-S29
The conditions below are not part of S22.49XG, but a patient may have both at the same time. When documentation supports it, S22.49XG 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 S22.49XG, but a patient may have both at the same time. When documentation supports it, S22.49XG and the excluded code may both be reported.
Code also — inherited from S22
Two codes may be needed to describe the condition fully. Whether S22.49XG is sequenced first depends on the reason for the encounter.
How long has S22.49XG existed?
S22.49XG 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.