Is S22.49XD a billable ICD-10-CM code?

Yes. S22.49XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S22.49XD 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).

S22.49XD

S22.49XD — Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with routine healing

Billable / specific codeICD-10-CMPOA exemptunspecified

S22.49XD is a billable, specific ICD-10-CM code for multiple fractures of ribs, unspecified side, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.

7th 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

Risk adjustment

S22.49XD 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

S22.49XD 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.

A53065Billing and Coding: Outpatient Physical Therapy

Related codes at this level

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

Questions about S22.49XD

Is S22.49XD a billable ICD-10-CM code?: Yes. S22.49XD is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S22.49XD 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).