S22.5XXB
S22.5XXB: Flail chest, initial encounter for open fracture
Billable / specific codeICD-10-CM
S22.5XXB is a billable, specific ICD-10-CM code for flail chest, initial encounter for open fracture. It is valid for submission on a claim.
Check S22.5XXB with the rest of the claim: free scrubber7th 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
Excludes1 inherited from the categories above S22.5XXB
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S22.5XXB
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S22.5XXB
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
S22.5XXB is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56625Billing and Coding: Echocardiography
- A56781Billing and Coding: Transthoracic Echocardiography (TTE)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S22.5
- S22.5XXAFlail chest, initial encounter for closed fracture
- S22.5XXDFlail chest, subsequent encounter for fracture with routine healing
- S22.5XXGFlail chest, subsequent encounter for fracture with delayed healing
- S22.5XXKFlail chest, subsequent encounter for fracture with nonunion
- S22.5XXSFlail chest, sequela