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S22.049Non-billableSave

S22.049 - Unspecified fracture of fourth thoracic vertebra

ICD-10-CM Chapter 19: Injury, poisoning and certain other consequences of external causes · S20-S29 Injuries to the thorax (S20-S29) · Subcategory of S22.04 · FY2027

Coding Guidance

S22.049 requires a 7th character. Report the code below that matches the documentation, for example A for initial encounter for closed fracture, B for initial encounter for open fracture, D for subsequent encounter for fracture with routine healing.

7th Character

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

Includes, Excludes and Coding Notes

IncludesFrom S22

Conditions this code covers.

  • fracture of thoracic neural arch
  • fracture of thoracic spinous process
  • fracture of thoracic transverse process
  • fracture of thoracic vertebra
  • fracture of thoracic vertebral arch
Excludes 1 — Not Coded HereFrom S22

Mutually exclusive: these conditions are never reported together with this code.

  • transection of thorax (S28.1)
Excludes 2 — Not Included HereFrom S22

Not part of this code; report both codes when the patient has both conditions.

  • fracture of clavicle (S42.0-)
  • fracture of scapula (S42.1-)
Code FirstFrom S22

Sequence the underlying condition before this code.

  • , if applicable, spinal cord injury (S24.0-, S24.1-)
Code AlsoFrom S22

Report an additional code when both conditions apply.

  • , if applicable, any associated condition such as:
  • injury of intrathoracic organ (S27.-)
  • traumatic hemopneumothorax (S27.2)
  • traumatic hemothorax (S27.1-)
  • traumatic pneumothorax (S27.0)
NotesFrom S22

Instructional notes from the ICD-10-CM tabular list.

  • 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
IncludesFrom S20-S29 Injuries to the thorax (S20-S29)

Conditions this code covers.

  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area
Excludes 2 — Not Included HereFrom S20-S29 Injuries to the thorax (S20-S29)

Not part of this code; report both codes when the patient has both conditions.

  • 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)
Excludes 2 — Not Included HereFrom Chapter S00-T88

Not part of this code; report both codes when the patient has both conditions.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)
Use Additional CodeFrom Chapter S00-T88

Add a secondary code to identify the associated condition or cause when it is documented.

  • code to identify any retained foreign body, if applicable (Z18.-)
NotesFrom Chapter S00-T88

Instructional notes from the ICD-10-CM tabular list.

  • 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.

More Specific Codes (6)

S22.049AUnspecified fracture of fourth thoracic vertebra, initial encounter for closed fracture→S22.049BUnspecified fracture of fourth thoracic vertebra, initial encounter for open fracture→S22.049DUnspecified fracture of fourth thoracic vertebra, subsequent encounter for fracture with routine healing→S22.049GUnspecified fracture of fourth thoracic vertebra, subsequent encounter for fracture with delayed healing→S22.049KUnspecified fracture of fourth thoracic vertebra, subsequent encounter for fracture with nonunion→S22.049SUnspecified fracture of fourth thoracic vertebra, sequela→

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with S22.049.