S22.0 — Fracture of thoracic vertebra
S22.0 is a non-billable header ICD-10-CM code for fracture of thoracic vertebra. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S22
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- S
- sequela
Other codes that can never be billed with S22.0
These codes carry an Excludes1 note pointing at S22.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S22.0 alone.
- M48.4Fatigue fracture of vertebra
Risk adjustment
S22.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead S22.0
9 child codes. Green means billable.
- S22.00Fracture of unspecified thoracic vertebra
- S22.01Fracture of first thoracic vertebra
- S22.02Fracture of second thoracic vertebra
- S22.03Fracture of third thoracic vertebra
- S22.04Fracture of fourth thoracic vertebra
- S22.05Fracture of T5-T6 vertebra
- S22.06Fracture of T7-T8 vertebra
- S22.07Fracture of T9-T10 vertebra
- S22.08Fracture of T11-T12 vertebra
Related codes at this level
Codes that share S22. If S22.0 is not quite right, the correct code is usually one of these.
Questions about S22.0
- Is S22.0 a billable ICD-10-CM code?
- No. S22.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S22.0 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the thorax (S20-S29).