2022 ICD-10-CM Code S22.2

Fracture of sternum

Version 2021

Not Valid for Submission

ICD-10:S22.2
Short Description:Fracture of sternum
Long Description:Fracture of sternum

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the thorax (S20-S29)
      • Fracture of rib, sternum and thoracic spine (S22) (s)

S22.2 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of sternum. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Specific Coding for Fracture of sternum

Non-specific codes like S22.2 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for fracture of sternum:

  • NON-BILLABLE CODE - S22.20 for Unspecified fracture of sternum
  • BILLABLE CODE - Use S22.20XA for initial encounter for closed fracture
  • BILLABLE CODE - Use S22.20XB for initial encounter for open fracture
  • BILLABLE CODE - Use S22.20XD for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S22.20XG for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S22.20XK for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S22.20XS for sequela
  • NON-BILLABLE CODE - S22.21 for Fracture of manubrium
  • BILLABLE CODE - Use S22.21XA for initial encounter for closed fracture
  • BILLABLE CODE - Use S22.21XB for initial encounter for open fracture
  • BILLABLE CODE - Use S22.21XD for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S22.21XG for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S22.21XK for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S22.21XS for sequela
  • NON-BILLABLE CODE - S22.22 for Fracture of body of sternum
  • BILLABLE CODE - Use S22.22XA for initial encounter for closed fracture
  • BILLABLE CODE - Use S22.22XB for initial encounter for open fracture
  • BILLABLE CODE - Use S22.22XD for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S22.22XG for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S22.22XK for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S22.22XS for sequela
  • NON-BILLABLE CODE - S22.23 for Sternal manubrial dissociation
  • BILLABLE CODE - Use S22.23XA for initial encounter for closed fracture
  • BILLABLE CODE - Use S22.23XB for initial encounter for open fracture
  • BILLABLE CODE - Use S22.23XD for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S22.23XG for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S22.23XK for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S22.23XS for sequela
  • NON-BILLABLE CODE - S22.24 for Fracture of xiphoid process
  • BILLABLE CODE - Use S22.24XA for initial encounter for closed fracture
  • BILLABLE CODE - Use S22.24XB for initial encounter for open fracture
  • BILLABLE CODE - Use S22.24XD for subsequent encounter for fracture with routine healing
  • BILLABLE CODE - Use S22.24XG for subsequent encounter for fracture with delayed healing
  • BILLABLE CODE - Use S22.24XK for subsequent encounter for fracture with nonunion
  • BILLABLE CODE - Use S22.24XS for sequela

Information for Patients


Chest Injuries and Disorders

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


[Learn More in MedlinePlus]

Fractures

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

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.


[Learn More in MedlinePlus]

Code History

  • 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 (First year ICD-10-CM implemented into the HIPAA code set)