S22.21XS
S22.21XS: Fracture of manubrium, sequela
Billable / specific codeICD-10-CMPOA exempt
S22.21XS is a billable, specific ICD-10-CM code for fracture of manubrium, sequela. It is valid for submission on a claim.
Check S22.21XS 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 S22.21XS
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S22.21XS
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S22.21XS
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
S22.21XS is named in 7 Medicare coverage policies: 7 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 S22.21
- S22.21XAFracture of manubrium, initial encounter for closed fracture
- S22.21XBFracture of manubrium, initial encounter for open fracture
- S22.21XDFracture of manubrium, subsequent encounter for fracture with routine healing
- S22.21XGFracture of manubrium, subsequent encounter for fracture with delayed healing
- S22.21XKFracture of manubrium, subsequent encounter for fracture with nonunion