Injuries to the thorax (S20-S29)
S22: Fracture of rib(s), sternum and thoracic spine

notes
A fracture not indicated as displaced or nondisplaced should be coded to displaced
A fracture not indicated as open or closed should be coded to closed

includes
fracture of thoracic neural arch
fracture of thoracic spinous process
fracture of thoracic transverse process
fracture of thoracic vertebra
fracture of thoracic vertebral arch

codeFirst
any associated:
injury of intrathoracic organ (S27.-)
spinal cord injury (S24.0-, S24.1-)

excludes1
transection of thorax (S28.1)

excludes2
fracture of clavicle (S42.0-)
fracture of scapula (S42.1-)

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

sevenChrDef
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
S22.0: Fracture of thoracic vertebra
S22.2: Fracture of sternum
S22.3: Fracture of one rib
S22.4: Multiple fractures of ribs
S22.5: Flail chest
S22.9: Fracture of bony thorax, part unspecified

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