All ICD10 Codes
S22Non-billable

Fracture of rib(s), sternum and thoracic spine

Injury, Poisoning and Certain Other Consequences of External Causes·Injuries to the thorax (S20-S29)·category·FY 2026

Use a more specific code (2 billable, 4 non-billable)
S22.0Fracture of thoracic vertebrahas subcodesS22.2Fracture of sternumhas subcodesS22.3Fracture of one ribhas subcodesS22.4Multiple fractures of ribshas subcodesS22.5Flail chestS22.9Fracture of bony thorax, part unspecified

CH19 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
Use Additional Code
  • code to identify any retained foreign body, if applicable (Z18.-)

S20-S29 Parent Instructions

Includes
  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area
Excludes2(Not included here. Code separately if applicable.)
  • 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)

Instructional Notes

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. Use a different code.)
  • transection of thorax (S28.1)
Excludes2(Not included here. Code separately 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)

Clinical Hierarchy

BillableHas subcodes
CH19Injury, poisoning and certain other consequences of external causes (S00-T88)
S20-S29Injuries to the thorax (S20-S29)
S22Fracture of rib(s), sternum and thoracic spineNot billable
S22.0Fracture of thoracic vertebraSubcodes
S22.2Fracture of sternumSubcodes
S22.3Fracture of one ribSubcodes
S22.4Multiple fractures of ribsSubcodes
S22.5Flail chestBillable
S22.9Fracture of bony thorax, part unspecifiedBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.