S22.43XA
S22.43XA: Multiple fractures of ribs, bilateral, initial encounter for closed fracture
Billable / specific codeICD-10-CMbilateral
S22.43XA is a billable, specific ICD-10-CM code for multiple fractures of ribs, bilateral, initial encounter for closed fracture. It is valid for submission on a claim.
Check S22.43XA with the rest of the claim: free scrubber7th character "A": initial encounter for closed 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 S22.43XA
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S22.43XA
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S22.43XA
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
S22.43XA is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A57205Billing and Coding: Oximetry Services
- A57311Billing and Coding: Physical Therapy - Home Health
- A57326Billing and Coding: Electrocardiograms
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S22.43
- S22.43XBMultiple fractures of ribs, bilateral, initial encounter for open fracture
- S22.43XDMultiple fractures of ribs, bilateral, subsequent encounter for fracture with routine healing
- S22.43XGMultiple fractures of ribs, bilateral, subsequent encounter for fracture with delayed healing
- S22.43XKMultiple fractures of ribs, bilateral, subsequent encounter for fracture with nonunion
- S22.43XSMultiple fractures of ribs, bilateral, sequela