Kodex

Code

S22.41XA

initial encounter for closed fracture

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Hierarchy

S00-T88 Injury, poisoning and certain other consequences of external causes (S00-T88)
- S20-S29 Injuries to the thorax (S20-S29)
  - S22 Fracture of rib(s), sternum and thoracic spine
    - S22.4 Multiple fractures of ribs
      - S22.41 Multiple fractures of ribs, right side
        
        S22.41XA initial encounter for closed fracture
        
        S22.41XB initial encounter for open fracture
        
        S22.41XD subsequent encounter for fracture with routine healing
        
        S22.41XG subsequent encounter for fracture with delayed healing
        
        S22.41XK subsequent encounter for fracture with nonunion
        
        S22.41XS sequela

Long Title

S22.41XA

Multiple fractures of ribs, right side initial encounter for closed fracture

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

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.

Inclusion Terms

Fractures of two or more ribs

Code First

any associated:
injury of intrathoracic organ (S27.-)
- S27 Injury of other and unspecified intrathoracic organs
spinal cord injury (S24.0-, S24.1-)
- S24.0 Concussion and edema of thoracic spinal cord
- S24.1 Other and unspecified injuries of thoracic spinal cord

Use Additional

code to identify any retained foreign body, if applicable (Z18.-)
- Z18 Retained foreign body fragments

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

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

Excludes 1

S22.5 Flail chest

transection of thorax (S28.1)
- S28.1 Traumatic amputation (partial) of part of thorax, except breast

P10-P15 Birth trauma (P10-P15)
obstetric trauma (O70-O71)

Excludes 2

S42.0 Fracture of clavicle
S42.1 Fracture of scapula

T20-T32 Burns and corrosions (T20-T32)
effects of foreign body in bronchus (T17.5)
- T17.5 Foreign body in bronchus
effects of foreign body in esophagus (T18.1)
- T18.1 Foreign body in esophagus
effects of foreign body in lung (T17.8)
- T17.8 Foreign body in other parts of respiratory tract
effects of foreign body in trachea (T17.4)
- T17.4 Foreign body in trachea
T33-T34 Frostbite (T33-T34)
injuries of axilla
injuries of clavicle
injuries of scapular region
injuries of shoulder
insect bite or sting, venomous (T63.4)
- T63.4 Toxic effect of venom of other arthropods