2024 ICD-10-CM Diagnosis Code S23.20XA

Dislocation of unspecified part of thorax, initial encounter

ICD-10-CM Code:
S23.20XA
ICD-10 Code for:
Dislocation of unspecified part of thorax, initial encounter
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the thorax
      (S20-S29)
      • Dislocation and sprain of joints and ligaments of thorax
        (S23)

S23.20XA is a billable diagnosis code used to specify a medical diagnosis of dislocation of unspecified part of thorax, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

S23.20XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like dislocation of unspecified part of thorax. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Unspecified diagnosis codes like S23.20XA are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Dislocation of costovertebral joint
  • Dislocations, sprains and strains involving multiple body regions
  • Dislocations, sprains and strains involving thorax with lower back and pelvis
  • Dislocations/sprains/strains
  • Fracture dislocation of costovertebral joint
  • Traumatic dislocation of joint of thoracic wall

Clinical Classification

Coding Guidelines

The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments of thorax (S23). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Convert S23.20XA to ICD-9-CM

  • ICD-9-CM Code: 839.40 - Dislocat vertebra NOS-cl
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Chest Injuries and Disorders

What is the chest?

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:

  • Ribs and breastbone
  • Esophagus, the tube between your mouth and stomach
  • Trachea, your windpipe
  • Bronchi, the tubes that carry air from your windpipe to your lungs
  • Lungs
  • Pleura, a thin layer of tissue that covers the lungs and lines the inside wall of the chest space
  • Heart and large blood vessels
  • Thymus, a gland that's part of your immune system
  • Nerves

What are chest injuries and disorders?

Chest injuries and disorders are problems that affect any of the organs or structures located in your chest.

There are many types of chest injuries and disorders, for example:

  • Broken ribs
  • Esophagus disorders
  • Swallowing disorders, also called dysphagia
  • Tracheal disorders
  • Bronchial disorders
  • Lung diseases and collapsed lung
  • Pleural disorders
  • Heart diseases
  • Mediastinal diseases, which are tumors, inflammation, and other problems with the structures in the mediastinum, which is the space between your lungs, breastbone, and spine
  • Thoracic aortic aneurysm
  • Thoracic outlet syndrome

Chest injuries may happen from the force of car accidents, falls, or sports injuries. Or the chest may be pierced by a bullet or sharp object. Because your chest holds so many important structures, certain chest injuries may be life-threatening.

How are chest injuries and disorders diagnosed?

Diagnosis of chest injuries or disorders depends on the type of symptoms you're having and whether you've had a chest injury. Injuries are usually obvious, but in most cases, you'll need tests to know how serious an injury is.

There are many types of tests for diagnosing different types of chest injuries and disorders, for example:

  • Diagnostic imaging tests
  • Heart tests
  • Lung function tests
  • Bronchoscopy
  • Pleural fluid analysis
  • Dysphagia tests
  • Biopsy

Treatments will depend on the type of chest injury or disorder you have.


[Learn More in MedlinePlus]

Dislocations

Dislocations are joint injuries that force the ends of your bones out of position. The cause is often a fall or a blow, sometimes from playing a contact sport. You can dislocate your ankles, knees, shoulders, hips, elbows and jaw. You can also dislocate your finger and toe joints. Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to move it.

A dislocated joint is an emergency. If you have one, seek medical attention. Treatment depends on which joint you dislocate and the severity of the injury. It might include manipulations to reposition your bones, medicine, a splint or sling, and rehabilitation. When properly repositioned, a joint will usually function and move normally again in a few weeks. Once you dislocate a shoulder or kneecap, you are more likely to dislocate it again. Wearing protective gear during sports may help prevent dislocations.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.