MCMCB Pro
S22.49XB

S22.49XBMultiple fractures of ribs, unspecified side, initial encounter for open fracture

Billable / specific codeICD-10-CMunspecified

S22.49XB is a billable, specific ICD-10-CM code for multiple fractures of ribs, unspecified side, initial encounter for open fracture. It is valid for submission on a claim.

7th character "B" — initial encounter for open 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

Risk adjustment

S22.49XB does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

S22.49XB is named in 1 Medicare coverage policy 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A57205Billing and Coding: Oximetry Services

Related codes at this level

Codes that share S22.49. If S22.49XB is not quite right, the correct code is usually one of these.

Questions about S22.49XB

Is S22.49XB a billable ICD-10-CM code?
Yes. S22.49XB is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S22.49XB sit in the tabular list?
Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the thorax (S20-S29).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.