S22.20XB
S22.20XB: Unspecified fracture of sternum, initial encounter for open fracture
Billable / specific codeICD-10-CM
S22.20XB is a billable, specific ICD-10-CM code for unspecified fracture of sternum, initial encounter for open fracture. It is valid for submission on a claim.
Check S22.20XB with the rest of the claim: free scrubber7th character "B": initial encounter for open fracture
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 S22.20XB
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S22.20XB
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S22.20XB
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
S22.20XB is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S22.20
- S22.20XAUnspecified fracture of sternum, initial encounter for closed fracture
- S22.20XDUnspecified fracture of sternum, subsequent encounter for fracture with routine healing
- S22.20XGUnspecified fracture of sternum, subsequent encounter for fracture with delayed healing
- S22.20XKUnspecified fracture of sternum, subsequent encounter for fracture with nonunion
- S22.20XSUnspecified fracture of sternum, sequela