S22.021D — Stable burst fracture of second thoracic vertebra, subsequent encounter for fracture with routine healing
S22.021D is a billable, specific ICD-10-CM code for stable burst fracture of second thoracic vertebra, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
7th character "D" — subsequent encounter for fracture with routine 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
S22.021D 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
S22.021D is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A57311Billing and Coding: Physical Therapy - Home Health
Related codes at this level
Codes that share S22.021. If S22.021D is not quite right, the correct code is usually one of these.
- S22.021AStable burst fracture of second thoracic vertebra, initial encounter for closed fracture
- S22.021BStable burst fracture of second thoracic vertebra, initial encounter for open fracture
- S22.021GStable burst fracture of second thoracic vertebra, subsequent encounter for fracture with delayed healing
- S22.021KStable burst fracture of second thoracic vertebra, subsequent encounter for fracture with nonunion
- S22.021SStable burst fracture of second thoracic vertebra, sequela
Questions about S22.021D
- Is S22.021D a billable ICD-10-CM code?
- Yes. S22.021D is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S22.021D 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).