S22.019B

Unspecified fracture of first thoracic vertebra, initial encounter for open fracture

Billable / specificHCC V28 401

S22.019B is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from S22)

  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area
  • fracture of thoracic neural arch
  • fracture of thoracic spinous process
  • fracture of thoracic transverse process
  • fracture of thoracic vertebra
  • fracture of thoracic vertebral arch
  • Note: Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • Note: The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
  • Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • Note: A fracture not indicated as open or closed should be coded to closed

Excludes1

Not coded here — never report together with this code.

  • transection of thorax (S28.1) (from S22)

Excludes2

Not included here — may be reported together when both conditions exist.

  • birth trauma (P10-P15) (from S22)
  • obstetric trauma (O70-O71) (from S22)
  • burns and corrosions (T20-T32) (from S22)
  • effects of foreign body in bronchus (T17.5) (from S22)
  • effects of foreign body in esophagus (T18.1) (from S22)
  • effects of foreign body in lung (T17.8) (from S22)
  • effects of foreign body in trachea (T17.4) (from S22)
  • frostbite (T33-T34) (from S22)
  • injuries of axilla (from S22)
  • injuries of clavicle (from S22)
  • injuries of scapular region (from S22)
  • injuries of shoulder (from S22)
  • insect bite or sting, venomous (T63.4) (from S22)
  • fracture of clavicle (S42.0-) (from S22)
  • fracture of scapula (S42.1-) (from S22)

Code first

Sequence the underlying condition first.

Use additional code

Add a code to identify the following, if applicable.

  • code to identify any retained foreign body, if applicable (Z18.-) (from S22)

Code also

An additional code may be needed.

  • , if applicable, any associated condition such as: (from S22)
  • injury of intrathoracic organ (S27.-) (from S22)
  • traumatic hemopneumothorax (S27.2) (from S22)
  • traumatic hemothorax (S27.1-) (from S22)
  • traumatic pneumothorax (S27.0) (from S22)

7th character

The 7th character values that apply to this code (defined at S22). Use the placeholder "X" for missing positions.

CharacterMeaning
Ainitial encounter for closed fracture
Binitial encounter for open fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Ssequela

Parent code

  • S22.019Unspecified fracture of first thoracic vertebraNeeds 7th char

Related codes

  • S22.019AUnspecified fracture of first thoracic vertebra, initial encounter for closed fractureBillable
  • S22.019DUnspecified fracture of first thoracic vertebra, subsequent encounter for fracture with routine healingBillable
  • S22.019GUnspecified fracture of first thoracic vertebra, subsequent encounter for fracture with delayed healingBillable
  • S22.019KUnspecified fracture of first thoracic vertebra, subsequent encounter for fracture with nonunionBillable
  • S22.019SUnspecified fracture of first thoracic vertebra, sequelaBillable

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