ICD-10-CM S22: Fracture of rib(s), sternum and thoracic spine

ICD-10-CM Diagnosis Code (2025)

Official Description for S22

Fracture of rib(s), sternum and thoracic spine

Coding Notes & Guidelines for S22

Includes Notes
  • fracture of thoracic neural arch
  • fracture of thoracic spinous process
  • fracture of thoracic transverse process
  • fracture of thoracic vertebra
  • fracture of thoracic vertebral arch
Excludes1: Not Coded Here

transection of thorax (S28.1)

Excludes1: Not Coded Here

flail chest (S22.5-)

Excludes2: Not Included Here
  • fracture of clavicle (S42.0-)
  • fracture of scapula (S42.1-)
Inclusion Terms

Fractures of two or more ribs

Code Also
  • , if applicable, any associated condition such as:
  • injury of intrathoracic organ (S27.-)
  • spinal cord injury (S24.0-, S24.1-)
  • traumatic hemopneumothorax (S27.2)
  • traumatic hemothorax (S27.1-)
  • traumatic pneumothorax (S27.0)
7th Character Guidance

The appropriate 7th character is to be added to each code from category S22

7th Character Definitions
  • 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

Child Codes (More Specific Codes for S22):

S22.0 - Fracture of thoracic vertebra S22.00 - Fracture of unspecified thoracic vertebra S22.000 - Wedge compression fracture of unspecified thoracic vertebra S22.001 - Stable burst fracture of unspecified thoracic vertebra S22.002 - Unstable burst fracture of unspecified thoracic vertebra S22.008 - Other fracture of unspecified thoracic vertebra S22.009 - Unspecified fracture of unspecified thoracic vertebra S22.01 - Fracture of first thoracic vertebra S22.010 - Wedge compression fracture of first thoracic vertebra S22.011 - Stable burst fracture of first thoracic vertebra S22.012 - Unstable burst fracture of first thoracic vertebra S22.018 - Other fracture of first thoracic vertebra S22.019 - Unspecified fracture of first thoracic vertebra S22.02 - Fracture of second thoracic vertebra S22.020 - Wedge compression fracture of second thoracic vertebra S22.021 - Stable burst fracture of second thoracic vertebra S22.022 - Unstable burst fracture of second thoracic vertebra S22.028 - Other fracture of second thoracic vertebra S22.029 - Unspecified fracture of second thoracic vertebra S22.03 - Fracture of third thoracic vertebra S22.030 - Wedge compression fracture of third thoracic vertebra S22.031 - Stable burst fracture of third thoracic vertebra S22.032 - Unstable burst fracture of third thoracic vertebra S22.038 - Other fracture of third thoracic vertebra S22.039 - Unspecified fracture of third thoracic vertebra S22.04 - Fracture of fourth thoracic vertebra S22.040 - Wedge compression fracture of fourth thoracic vertebra S22.041 - Stable burst fracture of fourth thoracic vertebra S22.042 - Unstable burst fracture of fourth thoracic vertebra S22.048 - Other fracture of fourth thoracic vertebra S22.049 - Unspecified fracture of fourth thoracic vertebra S22.05 - Fracture of T5-T6 vertebra S22.050 - Wedge compression fracture of T5-T6 vertebra S22.051 - Stable burst fracture of T5-T6 vertebra S22.052 - Unstable burst fracture of T5-T6 vertebra S22.058 - Other fracture of T5-T6 vertebra S22.059 - Unspecified fracture of T5-T6 vertebra S22.06 - Fracture of T7-T8 vertebra S22.060 - Wedge compression fracture of T7-T8 vertebra S22.061 - Stable burst fracture of T7-T8 vertebra S22.062 - Unstable burst fracture of T7-T8 vertebra S22.068 - Other fracture of T7-T8 thoracic vertebra S22.069 - Unspecified fracture of T7-T8 vertebra S22.07 - Fracture of T9-T10 vertebra S22.070 - Wedge compression fracture of T9-T10 vertebra S22.071 - Stable burst fracture of T9-T10 vertebra S22.072 - Unstable burst fracture of T9-T10 vertebra S22.078 - Other fracture of T9-T10 vertebra S22.079 - Unspecified fracture of T9-T10 vertebra S22.08 - Fracture of T11-T12 vertebra S22.080 - Wedge compression fracture of T11-T12 vertebra S22.081 - Stable burst fracture of T11-T12 vertebra S22.082 - Unstable burst fracture of T11-T12 vertebra S22.088 - Other fracture of T11-T12 vertebra S22.089 - Unspecified fracture of T11-T12 vertebra S22.2 - Fracture of sternum S22.20 - Unspecified fracture of sternum S22.21 - Fracture of manubrium S22.22 - Fracture of body of sternum S22.23 - Sternal manubrial dissociation S22.24 - Fracture of xiphoid process S22.3 - Fracture of one rib S22.31 - Fracture of one rib, right side S22.32 - Fracture of one rib, left side S22.39 - Fracture of one rib, unspecified side S22.4 - Multiple fractures of ribs S22.41 - Multiple fractures of ribs, right side S22.42 - Multiple fractures of ribs, left side S22.43 - Multiple fractures of ribs, bilateral S22.49 - Multiple fractures of ribs, unspecified side S22.5 - Flail chest S22.9 - Fracture of bony thorax, part unspecified

About ICD-10-CM Code S22 (Fracture of rib)

ICD-10-CM code S22 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM S22 became effective on October 1, 2024.

This page provides detailed information about S22 - Fracture of rib(s), sternum and thoracic spine. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Fracture of rib related to sternum and thoracic spine.