S22.061S
S22.061S: Stable burst fracture of T7-T8 vertebra, sequela
Billable / specific codeICD-10-CMPOA exempt
S22.061S is a billable, specific ICD-10-CM code for stable burst fracture of t7-t8 vertebra, sequela. It is valid for submission on a claim.
Check S22.061S 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 S22.061S
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S22.061S
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S22.061S
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
S22.061S is named in 6 Medicare coverage policies: 6 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
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S22.061
- S22.061AStable burst fracture of T7-T8 vertebra, initial encounter for closed fracture
- S22.061BStable burst fracture of T7-T8 vertebra, initial encounter for open fracture
- S22.061DStable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with routine healing
- S22.061GStable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with delayed healing
- S22.061KStable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with nonunion