S22.002G — Unstable burst fracture of unspecified thoracic vertebra, subsequent encounter for fracture with delayed healing
S22.002G is a billable, specific ICD-10-CM code for unstable burst fracture of unspecified thoracic vertebra, subsequent encounter for fracture with delayed healing. It is valid for submission on a claim.
7th character "G" — subsequent encounter for fracture with delayed healing
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
Risk adjustment
S22.002G 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.
Medicare coverage
S22.002G is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S22.002. If S22.002G is not quite right, the correct code is usually one of these.
- S22.002AUnstable burst fracture of unspecified thoracic vertebra, initial encounter for closed fracture
- S22.002BUnstable burst fracture of unspecified thoracic vertebra, initial encounter for open fracture
- S22.002DUnstable burst fracture of unspecified thoracic vertebra, subsequent encounter for fracture with routine healing
- S22.002KUnstable burst fracture of unspecified thoracic vertebra, subsequent encounter for fracture with nonunion
- S22.002SUnstable burst fracture of unspecified thoracic vertebra, sequela
Questions about S22.002G
- Is S22.002G a billable ICD-10-CM code?
- Yes. S22.002G is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S22.002G 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).