ICDwise
S22 ⚠ Non-billable

Fracture of rib(s), sternum and thoracic spine

ICD-10-CM · FY2026 · Injury, Poisoning and Certain Other Consequences of External Causes

Code
S22
System
ICD-10-CM
Billable
No — use specific code
Effective
FY2026
Chapter
Injury, Poisoning and Certain Other Consequences of External Causes
Source
CMS / CDC NCHS
⚠ Verify before billing. Confirm against the current CMS/NCHS ICD-10-CM files and your payer's rules before claims submission.

Official coding notes

From CMS's ICD-10-CM Tabular List.

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
Excludes1 — never code together
  • transection of thorax (S28.1)
Excludes2 — not included here, but may code together
  • fracture of clavicle (S42.0-)
  • fracture of scapula (S42.1-)
Code first
  • , if applicable, spinal cord injury (S24.0-, S24.1-)
Code also
  • , if applicable, any associated condition such as:
  • injury of intrathoracic organ (S27.-)
  • traumatic hemopneumothorax (S27.2)
  • traumatic hemothorax (S27.1-)
  • traumatic pneumothorax (S27.0)
7th character
  • The appropriate 7th character is to be added to each code from category S22
Note
  • 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

Frequently asked questions

What is ICD-10 code S22?
ICD-10-CM code S22 represents Fracture of rib(s), sternum and thoracic spine. It is a non-billable header code requiring a more specific subcategory in the Injury, Poisoning and Certain Other Consequences of External Causes chapter, effective October 1, 2025 – September 30, 2026.
Is S22 billable?
No. S22 is a non-billable header. Select a more specific subcategory for claims submission.
What chapter is S22 in?
S22 belongs to the Injury, Poisoning and Certain Other Consequences of External Causes chapter (S00–T88) of ICD-10-CM.

Related codes in the S22 category

S22.0 Fracture of thoracic vertebra Non-billable S22.00 Fracture of unspecified thoracic vertebra Non-billable S22.01 Fracture of first thoracic vertebra Non-billable S22.000 Wedge compression fracture of unspecified thoracic vertebra Non-billable S22.001 Stable burst fracture of unspecified thoracic vertebra Non-billable S22.002 Unstable burst fracture of unspecified thoracic vertebra Non-billable S22.008 Other fracture of unspecified thoracic vertebra Non-billable S22.009 Unspecified fracture of unspecified thoracic vertebra Non-billable

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