Is S22.081 a billable ICD-10-CM code?

No. S22.081 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S22.081 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).

S22.081

S22.081 — Stable burst fracture of T11-T12 vertebra

Non-billable headerICD-10-CM

S22.081 is a non-billable header ICD-10-CM code for stable burst fracture of t11-t12 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

S22.081 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 S22.081 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 S22.081.

Fracture, traumatic›thorax›vertebra›eleventh›burst(stable)
Fracture, traumatic›thorax›vertebra›twelfth›burst(stable)

Code to one of these instead S22.081

6 child codes. Green means billable.

Related codes at this level

Codes that share S22.08. If S22.081 is not quite right, the correct code is usually one of these.

Questions about S22.081

Is S22.081 a billable ICD-10-CM code?: No. S22.081 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S22.081 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).