Crushing injury of thorax, and traumatic amputation of part of thorax
In Injuries to the thorax (S20-S29), chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes
24 billable codes under S28: 1 is a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Also applies, from Injuries to the thorax (S20-S29)
These notes sit on S20-S29 and apply to every code under it, including S28.
Includes: conditions that are coded here
- 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)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).
- Application of 7th Characters in Chapter 19 (page 77)
- Coding of Injuries (page 78)
- Coding of Traumatic Fractures (page 79)
- Coding of Burns and Corrosions (page 80)
- Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
- Adult and child abuse, neglect and other maltreatment (page 85)
- Complications of care (page 85)
All codes under S28
S28 can't be used on a claim. Pick a billable code below; grey headings group them.
- S28.0Crushed chest
- S28.0XXACrushed chest, initial encounter
- S28.0XXDCrushed chest, subsequent encounter
- S28.0XXSCrushed chest, sequela
- S28.1Traumatic amputation (partial) of part of thorax, except breast
- S28.1XXATraumatic amputation (partial) of part of thorax, except breast, initial encounter
- S28.1XXDTraumatic amputation (partial) of part of thorax, except breast, subsequent encounter
- S28.1XXSTraumatic amputation (partial) of part of thorax, except breast, sequela
- S28.2Traumatic amputation of breast
- S28.21Complete traumatic amputation of breast
- S28.211Complete traumatic amputation of right breast
- S28.211AComplete traumatic amputation of right breast, initial encounter
- S28.211DComplete traumatic amputation of right breast, subsequent encounter
- S28.211SComplete traumatic amputation of right breast, sequela
- S28.212Complete traumatic amputation of left breast
- S28.212AComplete traumatic amputation of left breast, initial encounter
- S28.212DComplete traumatic amputation of left breast, subsequent encounter
- S28.212SComplete traumatic amputation of left breast, sequela
- S28.219Complete traumatic amputation of unspecified breast
- S28.219AComplete traumatic amputation of unspecified breast, initial encounter
- S28.219DComplete traumatic amputation of unspecified breast, subsequent encounter
- S28.219SComplete traumatic amputation of unspecified breast, sequela
- S28.22Partial traumatic amputation of breast
- S28.221Partial traumatic amputation of right breast
- S28.221APartial traumatic amputation of right breast, initial encounter
- S28.221DPartial traumatic amputation of right breast, subsequent encounter
- S28.221SPartial traumatic amputation of right breast, sequela
- S28.222Partial traumatic amputation of left breast
- S28.222APartial traumatic amputation of left breast, initial encounter
- S28.222DPartial traumatic amputation of left breast, subsequent encounter
- S28.222SPartial traumatic amputation of left breast, sequela
- S28.229Partial traumatic amputation of unspecified breast
- S28.229APartial traumatic amputation of unspecified breast, initial encounter
- S28.229DPartial traumatic amputation of unspecified breast, subsequent encounter
- S28.229SPartial traumatic amputation of unspecified breast, sequela
S28 MS-DRGs
As the principal diagnosis, the billable codes under S28 group to these 9 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 604 Trauma to the Skin, Subcutaneous Tissue and Breast with MCC (15 of 24 codes)
- DRG 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC (15 of 24 codes)
- DRG 949 Aftercare with CC/MCC (8 of 24 codes)
- DRG 950 Aftercare without CC/MCC (8 of 24 codes)
- DRG 963 Other Multiple Significant Trauma with MCC (8 of 24 codes)
- DRG 964 Other Multiple Significant Trauma with CC (8 of 24 codes)
- DRG 965 Other Multiple Significant Trauma without CC/MCC (8 of 24 codes)
- DRG 913 Traumatic Injury with MCC (1 of 24 codes)
- DRG 914 Traumatic Injury without MCC (1 of 24 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Chest Injuries and Disorders
The chest is the part of your body between your neck and your abdomen (belly). The medical term for your chest is thorax. Your chest holds many important structures for breathing, digestion, blood circulation, and other important body functions. These structures include your:
Read more about chest injuries and disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.