S22 Fracture of rib(s), sternum and thoracic spine

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Fracture of rib(s), sternum and thoracic spine is S22 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
S20-S29: Injuries to the thorax (S20-S29)
Category S22
73 codes (59 billable)
FY2026 Status
Stable since FY2024
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
Not coded here. These conditions should NOT be coded together with S22.
  • transection of thorax (S28.1)
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • fracture of clavicle (S42.0-)
  • fracture of scapula (S42.1-)
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)

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

Official Coding Guidelines

Code traumatic fractures individually by site per listed categories

c. Coding of Traumatic Fractures The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site in accordance with both the provisions within categories S02, S12, S22, S32, S42, S49, S52, S59, S62, S72, S79, S82, S89, S92 and the level of detail furnished by medical record content.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.19.c
Sequence blood vessel/nerve injury first (fragment)

injury is to the blood vessels or nerves, that injury should be sequenced first.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.19.b.2

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

More Specific Codes

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

Related Codes in S22

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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