S22.42XS
S22.42XS: Multiple fractures of ribs, left side, sequela
Billable / specific codeICD-10-CMPOA exemptleft
S22.42XS is a billable, specific ICD-10-CM code for multiple fractures of ribs, left side, sequela. It is valid for submission on a claim.
Check S22.42XS 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 S22.42XS
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S22.42XS
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S22.42XS
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
S22.42XS 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 S22.42
- S22.42XAMultiple fractures of ribs, left side, initial encounter for closed fracture
- S22.42XBMultiple fractures of ribs, left side, initial encounter for open fracture
- S22.42XDMultiple fractures of ribs, left side, subsequent encounter for fracture with routine healing
- S22.42XGMultiple fractures of ribs, left side, subsequent encounter for fracture with delayed healing
- S22.42XKMultiple fractures of ribs, left side, subsequent encounter for fracture with nonunion