Includes:

  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area

Excludes2

  • burns and corrosions (T20-T32)
  • effects of foreign body in bronchus (T17.5)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in lung (T17.8)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • injuries of axilla
  • injuries of clavicle
  • injuries of scapular region
  • injuries of shoulder
  • insect bite or sting, venomous (T63.4)
  1. S22 Fracture of rib(s), sternum and thoracic spine

    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

    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

    • transection of thorax (S28.1)

    Excludes2

    • fracture of clavicle (S42.0-)
    • fracture of scapula (S42.1-)

    The appropriate 7th character is to be added to each code from category S22

    • A - initial encounter for closed fracture
    • B - initial encounter for open fracture
    • D - subsequent encounter for fracture with routine healing
    • G - subsequent encounter for fracture with delayed healing
    • K - subsequent encounter for fracture with nonunion
    • S - sequela
    1. S22.0 Fracture of thoracic vertebra

      1. 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
      2. 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
      3. 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
      4. 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
      5. 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
        • S22.049 Unspecified fracture of fourth thoracic vertebra
      6. S22.05 Fracture of T5-T6 vertebra

        • S22.050 Wedge compression fracture of T5-T6 vertebra
        • S22.051 Stable burst fracture of T5-T6 vertebra
        • S22.052 Unstable burst fracture of T5-T6 vertebra
        • S22.058 Other fracture of T5-T6 vertebra
        • S22.059 Unspecified fracture of T5-T6 vertebra
      7. S22.06 Fracture of T7-T8 vertebra

        • S22.060 Wedge compression fracture of T7-T8 vertebra
        • S22.061 Stable burst fracture of T7-T8 vertebra
        • S22.062 Unstable burst fracture of T7-T8 vertebra
        • S22.068 Other fracture of T7-T8 thoracic vertebra
        • S22.069 Unspecified fracture of T7-T8 vertebra
      8. S22.07 Fracture of T9-T10 vertebra

        • S22.070 Wedge compression fracture of T9-T10 vertebra
        • S22.071 Stable burst fracture of T9-T10 vertebra
        • S22.072 Unstable burst fracture of T9-T10 vertebra
        • S22.078 Other fracture of T9-T10 vertebra
        • S22.079 Unspecified fracture of T9-T10 vertebra
      9. S22.08 Fracture of T11-T12 vertebra

        • S22.080 Wedge compression fracture of T11-T12 vertebra
        • S22.081 Stable burst fracture of T11-T12 vertebra
        • S22.082 Unstable burst fracture of T11-T12 vertebra
        • S22.088 Other fracture of T11-T12 vertebra
        • S22.089 Unspecified fracture of T11-T12 vertebra
    2. S22.2 Fracture of sternum

      1. S22.20 Unspecified fracture of sternum

      2. S22.21 Fracture of manubrium

      3. S22.22 Fracture of body of sternum

      4. S22.23 Sternal manubrial dissociation

      5. S22.24 Fracture of xiphoid process

    3. S22.3 Fracture of one rib

      1. S22.31 Fracture of one rib, right side

      2. S22.32 Fracture of one rib, left side

      3. S22.39 Fracture of one rib, unspecified side

    4. S22.4 Multiple fractures of ribs

      Inclusion term(s):

      • Fractures of two or more ribs
      1. S22.41 Multiple fractures of ribs, right side

      2. S22.42 Multiple fractures of ribs, left side

      3. S22.43 Multiple fractures of ribs, bilateral

      4. S22.49 Multiple fractures of ribs, unspecified side

    5. S22.5 Flail chest

    6. S22.9 Fracture of bony thorax, part unspecified

Abbreviations used here:

NEC Not elsewhere classifiable
This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.

NOS Not otherwise specified
This abbreviation is the equivalent of unspecified.