S22.059S
S22.059S: Unspecified fracture of T5-T6 vertebra, sequela
Billable / specific codeICD-10-CMPOA exempt
S22.059S is a billable, specific ICD-10-CM code for unspecified fracture of t5-t6 vertebra, sequela. It is valid for submission on a claim.
Check S22.059S with the rest of the claim: free scrubber7th character "S": sequela
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
Excludes1 inherited from the categories above S22.059S
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S22.059S
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S22.059S
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S22.059S is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S22.059
- S22.059AUnspecified fracture of T5-T6 vertebra, initial encounter for closed fracture
- S22.059BUnspecified fracture of T5-T6 vertebra, initial encounter for open fracture
- S22.059DUnspecified fracture of T5-T6 vertebra, subsequent encounter for fracture with routine healing
- S22.059GUnspecified fracture of T5-T6 vertebra, subsequent encounter for fracture with delayed healing
- S22.059KUnspecified fracture of T5-T6 vertebra, subsequent encounter for fracture with nonunion