S22.050G — Wedge compression fracture of T5-T6 vertebra, subsequent encounter for fracture with delayed healing
S22.050G is a billable, specific ICD-10-CM code for wedge compression fracture of t5-t6 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
S22.050G 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
S22.050G 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 S22.050. If S22.050G is not quite right, the correct code is usually one of these.
- S22.050AWedge compression fracture of T5-T6 vertebra, initial encounter for closed fracture
- S22.050BWedge compression fracture of T5-T6 vertebra, initial encounter for open fracture
- S22.050DWedge compression fracture of T5-T6 vertebra, subsequent encounter for fracture with routine healing
- S22.050KWedge compression fracture of T5-T6 vertebra, subsequent encounter for fracture with nonunion
- S22.050SWedge compression fracture of T5-T6 vertebra, sequela
Questions about S22.050G
- Is S22.050G a billable ICD-10-CM code?
- Yes. S22.050G is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S22.050G 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).