S28.0XXA
S28.0XXA: Crushed chest, initial encounter
Billable / specific codeICD-10-CM
S28.0XXA is a billable, specific ICD-10-CM code for crushed chest, initial encounter. It is valid for submission on a claim.
Check S28.0XXA with the rest of the claim: free scrubber7th character "A": initial encounter
The appropriate 7th character is to be added to each code from category S28
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- flail chest (S22.5)
Use additional code
Add a secondary code to capture the detail described below.
- code for all associated injuries
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S28.0XXA is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56459Billing and Coding: Debridement Services
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Code history
Unchanged in every release from FY2024 to FY2027.