S22.31XD
S22.31XD: Fracture of one rib, right side, subsequent encounter for fracture with routine healing
Billable / specific codeICD-10-CMPOA exemptright
S22.31XD is a billable, specific ICD-10-CM code for fracture of one rib, right side, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
Check S22.31XD with the rest of the claim: free scrubber7th character "D": subsequent encounter for fracture with routine healing
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 S22.31XD
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S22.31XD
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S22.31XD
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
S22.31XD is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S22.31
- S22.31XAFracture of one rib, right side, initial encounter for closed fracture
- S22.31XBFracture of one rib, right side, initial encounter for open fracture
- S22.31XGFracture of one rib, right side, subsequent encounter for fracture with delayed healing
- S22.31XKFracture of one rib, right side, subsequent encounter for fracture with nonunion
- S22.31XSFracture of one rib, right side, sequela