S22.011 — Stable burst fracture of first thoracic vertebra
S22.011 is a non-billable header ICD-10-CM code for stable burst fracture of first 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
Risk adjustment
S22.011 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.
How S22.011 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to S22.011.
- Fracture, traumatic›thorax›vertebra›first›burst(stable)
Code to one of these instead S22.011
6 child codes. Green means billable.
- S22.011AStable burst fracture of first thoracic vertebra, initial encounter for closed fracture
- S22.011BStable burst fracture of first thoracic vertebra, initial encounter for open fracture
- S22.011DStable burst fracture of first thoracic vertebra, subsequent encounter for fracture with routine healing
- S22.011GStable burst fracture of first thoracic vertebra, subsequent encounter for fracture with delayed healing
- S22.011KStable burst fracture of first thoracic vertebra, subsequent encounter for fracture with nonunion
- S22.011SStable burst fracture of first thoracic vertebra, sequela
Related codes at this level
Codes that share S22.01. If S22.011 is not quite right, the correct code is usually one of these.
Questions about S22.011
- Is S22.011 a billable ICD-10-CM code?
- No. S22.011 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S22.011 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).