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S22.042A

Unstable burst fracture of fourth thoracic vertebra, initial encounter for closed fracture

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 16 never code together
S22code
Excludes1
  • transection of thorax (S28.1)S28.1
Excludes2
  • fracture of clavicle (S42.0-)S42.0-
  • fracture of scapula (S42.1-)S42.1-
S20-S29block
Excludes2
  • burns and corrosions (T20-T32)T20-T32
  • effects of foreign body in bronchus (T17.5)T17.5
  • effects of foreign body in esophagus (T18.1)T18.1
  • effects of foreign body in lung (T17.8)T17.8
  • effects of foreign body in trachea (T17.4)T17.4
  • frostbite (T33-T34)T33-T34
  • injuries of axilla
  • injuries of clavicle
  • injuries of scapular region
  • injuries of shoulder
  • insect bite or sting, venomous (T63.4)T63.4
S00-T88chapter
Excludes2

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

7th character 6
A initial encounter for closed fracture this code
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
Instructional notes 19
S22code
Notes
  • 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
Code also
  • , if applicable, any associated condition such as:
  • injury of intrathoracic organ (S27.-)S27.-
  • spinal cord injury (S24.0-, S24.1-)S24.0-S24.1-
  • traumatic hemopneumothorax (S27.2)S27.2
  • traumatic hemothorax (S27.1-)S27.1-
  • traumatic pneumothorax (S27.0)S27.0
S20-S29block
Includes
  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area
S00-T88chapter
Notes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
Use additional code
  • code to identify any retained foreign body, if applicable (Z18.-)Z18.-
Index entries leading here 1 filed at S22.042

The index files this at S22.042. The tabular extends it — laterality, staging, or the 7th character — so these entries lead to the family rather than to S22.042A exactly.

Alongside this code 5 same parent — S22.042
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC169 CMS28HCC401 ESRD21HCC169 ESRD24HCC169

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
S22.042
Block
S20-S29
Siblings
5

Present FY2024–FY2027.