ICD-10-CM Code S28.0
Crushed chest
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 S28.0 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'crushed chest' 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 | S28.0XXA | initial encounter |
| D | S28.0XXD | subsequent encounter |
| S | S28.0XXS | 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 S28 is used to code Chest injury
A chest injury is any form of physical injury to the chest including the ribs, heart and lungs. Chest injuries account for 25% of all deaths from traumatic injury. Typically chest injuries are caused by blunt mechanisms such as motor vehicle collisions or penetrating mechanisms such as stabbings.
| Specialty: | Emergency Medicine |
| MeSH Code: | D013898 |
| ICD 9 Code: | 959.11 |
A chest X-ray of a right sided pulmonary contusion associated with flail chest and subcutaneous emphysema
Coding Notes for S28.0 Info for medical coders on how to properly use this ICD-10 code
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Additional Code Note:
Use Additional Code
Use Additional Code note means a second code must be used in conjunction with this code. Codes with this note are Etiology codes and must be followed by a Manifestation code or codes. - Code for all associated injuries
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Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here." - Flail chest - instead, use code S22.5
Related Concepts SNOMET-CT
- Crushed chest with open wound into thoracic cavity (disorder)
- Crushed chest without open wound into thoracic cavity (disorder)
Coding Advice SNOMET-CT
- Possible requirement for an external cause code
- Episode of care information needed
- Consider additional code to identify specific condition or disease
ICD-10-CM Alphabetical Index References for 'S28.0 - Crushed chest'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S28.0. Click on any term below to browse the alphabetical index.
Parent Code: S28 - Crushing injury of thorax, and traumatic amputation of part of thorax