ICD-10-CM Code S22.42
Multiple fractures of ribs, left side
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."ICD Code S22.42 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'multiple fractures of ribs, left side' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
| 7th Digit | Billable Code | 7th Digit Specifies |
|---|---|---|
| A | S22.42XA | initial encounter |
| B | S22.42XB | initial encounter for open fracture |
| D | S22.42XD | subsequent encounter |
| G | S22.42XG | subsequent encounter for fracture with delayed healing |
| K | S22.42XK | subsequent encounter for fracture with nonunion |
| S | S22.42XS | sequela |
What is 7th Character Extension?
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More InfoThe ICD code S224 is used to code Rib fracture
A rib fracture is a break or fracture in one or more of the bones making up the rib cage. Fractures of the first and second ribs may be more likely to be associated with head and facial injuries than other rib fractures. The middle ribs are the ones most commonly fractured. Fractures usually occur from direct blows or from indirect crushing injuries. A rib fracture has the complication of potentially causing a pulmonary contusion. Rib fractures are usually quite painful because the ribs have to move to allow for breathing. When several ribs are broken in several places a flail chest results, and the detached bone sections will move separately from the rest of the chest.
| Specialty: | Emergency Medicine |
| MeSH Codes: | D012253, D012253 |
| ICD 9 Codes: | 807.0, 807.1 |
An X ray showing multiple old fractured ribs of the person's left side as marked by the oval.
Related Concepts SNOMET-CT
- Open fracture of multiple left ribs (disorder)
Coding Advice SNOMET-CT
- Episode of care information needed
- Consider additional code to identify specific condition or disease
- Possible requirement for an external cause code
Parent Code: S22.4 - Multiple fractures of ribs