S22.052 — Unstable burst fracture of T5-T6 vertebra
S22.052 is a non-billable header ICD-10-CM code for unstable burst fracture of t5-t6 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
S22.052 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 S22.052 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 S22.052.
- Fracture, traumatic›thorax›vertebra›fifth›burst›unstable
- Fracture, traumatic›thorax›vertebra›sixth›burst›unstable
Code to one of these instead S22.052
6 child codes. Green means billable.
- S22.052AUnstable burst fracture of T5-T6 vertebra, initial encounter for closed fracture
- S22.052BUnstable burst fracture of T5-T6 vertebra, initial encounter for open fracture
- S22.052DUnstable burst fracture of T5-T6 vertebra, subsequent encounter for fracture with routine healing
- S22.052GUnstable burst fracture of T5-T6 vertebra, subsequent encounter for fracture with delayed healing
- S22.052KUnstable burst fracture of T5-T6 vertebra, subsequent encounter for fracture with nonunion
- S22.052SUnstable burst fracture of T5-T6 vertebra, sequela
Related codes at this level
Codes that share S22.05. If S22.052 is not quite right, the correct code is usually one of these.
Questions about S22.052
- Is S22.052 a billable ICD-10-CM code?
- No. S22.052 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S22.052 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).