Diagnosis Code S22
Information for Medical Professionals
References found for the code S22 in the Index of Diseases and Injuries:
- 7th Characters: "With"
The word “with” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word “with” in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.
- The appropriate 7th character is to be added to each code from category S22
- Includes Notes: Includes Notes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- fracture of thoracic neural arch
- fracture of thoracic spinous process
- fracture of thoracic transverse process
- fracture of thoracic vertebra
- fracture of thoracic vertebral arch
- Type 1 Excludes Notes: Type 1 Excludes Notes
A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- transection of thorax (S28.1)
- Type 2 Excludes Notes: "And"
The word “and” should be interpreted to mean either “and” or “or” when it appears in a title.
- fracture of clavicle (S42.0-)
- fracture of scapula (S42.1-)
- Code First: "Code first"
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- any associated:
- injury of intrathoracic organ (S27.-)
- spinal cord injury (S24.0-, S24.1-)
- 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
Information for Patients
The chest is the part of the body between your neck and your abdomen. It includes the ribs and breastbone. Inside your chest are several organs, including the heart, lungs, and esophagus. The pleura, a large thin sheet of tissue, lines the inside of the chest cavity.
Chest injuries and disorders include
- Heart diseases
- Lung diseases and collapsed lung
- Pleural disorders
- Esophagus disorders
- Broken ribs
- Thoracic aortic aneurysms
- Disorders of the mediastinum, the space between the lungs, breastbone, and spine
- Chest tube insertion
- Mediastinal tumor
- Pectus excavatum
- Rib fracture - aftercare
Also called: Broken bone
A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.
Symptoms of a fracture are
- Intense pain
- Deformity - the limb looks out of place
- Swelling, bruising, or tenderness around the injury
- Numbness and tingling
- Problems moving a limb
You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.
- Ankle fracture - aftercare
- Broken bone
- Broken collarbone - aftercare
- Closed reduction of a fractured bone
- Closed reduction of a fractured bone - aftercare
- Hand fracture - aftercare
- Metatarsal fracture (acute) - aftercare
- Metatarsal stress fractures - aftercare
- Radial head fracture - aftercare
- What Are Growth Plate Injuries? - NIH (National Institute of Arthritis and Musculoskeletal and Skin Diseases)
Spine Injuries and Disorders
Your backbone, or spine, is made up of 26 bone discs called vertebrae. The vertebrae protect your spinal cord and allow you to stand and bend. A number of problems can change the structure of the spine or damage the vertebrae and surrounding tissue. They include
- Conditions, such as ankylosing spondylitis and scoliosis
- Bone changes that come with age, such as spinal stenosis and herniated disks
Spinal diseases often cause pain when bone changes put pressure on the spinal cord or nerves. They can also limit movement. Treatments differ by disease, but sometimes they include back braces and surgery.
- Compression fractures of the back
- Spinal fusion
- Spine surgery - discharge