S22.31

S22.31: Fracture of one rib, right side

Non-billable headerICD-10-CMright

S22.31 is a non-billable header ICD-10-CM code for fracture of one rib, right side. 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

Excludes1 inherited from the categories above S22.31

A category’s note binds every code beneath it.

Written on S22: Fracture of rib(s), sternum and thoracic spine

transection of thorax (S28.1)

Excludes2 inherited from the categories above S22.31

Not part of this code, but both may be coded when both are present.

Written on S22: Fracture of rib(s), sternum and thoracic spine

fracture of clavicle (S42.0-)
fracture of scapula (S42.1-)

Other codes that can never be billed with S22.31

Their own Excludes1 notes name this code, so the conflict is not listed above.

M48.5Collapsed vertebra, not elsewhere classified
M84.3Stress fracture
M84.4Pathological fracture, not elsewhere classified

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead S22.31

6 child codes. Green means billable.