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  5. Crushing injury of thorax, and traumatic amputation of part of thorax (S28)

Crushing injury of thorax, and traumatic amputation of part of thorax (S28)

The ICD-10 code section S28 covers injuries involving crushing or traumatic amputation of the thorax, including the chest and breast area. These codes are specifically used to document the severity and type of trauma affecting the chest wall and its components.

This section includes codes for a crushed chest (S28.0), which is also known as a crush injury or crushing injury of the thoracic cavity. It further breaks down encounters into initial, subsequent, and sequela phases (S28.0XXA, S28.0XXD, S28.0XXS). Additionally, traumatic amputation of parts of the thorax excluding the breast is coded under S28.1, including differentiation based on the encounter type. For breast-related injuries, the codes differentiate between partial or complete traumatic amputation of the breast. These are further specified by side (right, left, or unspecified) and encounter status, such as initial, subsequent, or sequela (e.g., S28.211A for complete amputation of the right breast, initial encounter). The terms traumatic amputation of the breast or crushed chest correspond closely with these codes, guiding coders in selecting the appropriate code for trauma to the thorax and breast area.

  • Injury, poisoning and certain other consequences of external causes (S00–T88)

    • Injuries to the thorax (S20-S29)

        • Crushing injury of thorax, and traumatic amputation of part of thorax (S28)

        • S28 Crushing injury of thorax, and traumatic amputation of part of thorax
        • S28.0 Crushed chest
        • S28.0XXA Crushed chest, initial encounter
        • S28.0XXD Crushed chest, subsequent encounter
        • S28.0XXS Crushed chest, sequela
        • S28.1 Traumatic amputation (partial) of part of thorax, except breast
        • S28.1XXA Traumatic amputation (partial) of part of thorax, except breast, initial encounter
        • S28.1XXD Traumatic amputation (partial) of part of thorax, except breast, subsequent encounter
        • S28.1XXS Traumatic amputation (partial) of part of thorax, except breast, sequela
        • S28.2 Traumatic amputation of breast
        • S28.21 Complete traumatic amputation of breast
        • S28.211 Complete traumatic amputation of right breast
        • S28.211A Complete traumatic amputation of right breast, initial encounter
        • S28.211D Complete traumatic amputation of right breast, subsequent encounter
        • S28.211S Complete traumatic amputation of right breast, sequela
        • S28.212 Complete traumatic amputation of left breast
        • S28.212A Complete traumatic amputation of left breast, initial encounter
        • S28.212D Complete traumatic amputation of left breast, subsequent encounter
        • S28.212S Complete traumatic amputation of left breast, sequela
        • S28.219 Complete traumatic amputation of unspecified breast
        • S28.219A Complete traumatic amputation of unspecified breast, initial encounter
        • S28.219D Complete traumatic amputation of unspecified breast, subsequent encounter
        • S28.219S Complete traumatic amputation of unspecified breast, sequela
        • S28.22 Partial traumatic amputation of breast
        • S28.221 Partial traumatic amputation of right breast
        • S28.221A Partial traumatic amputation of right breast, initial encounter
        • S28.221D Partial traumatic amputation of right breast, subsequent encounter
        • S28.221S Partial traumatic amputation of right breast, sequela
        • S28.222 Partial traumatic amputation of left breast
        • S28.222A Partial traumatic amputation of left breast, initial encounter
        • S28.222D Partial traumatic amputation of left breast, subsequent encounter
        • S28.222S Partial traumatic amputation of left breast, sequela
        • S28.229 Partial traumatic amputation of unspecified breast
        • S28.229A Partial traumatic amputation of unspecified breast, initial encounter
        • S28.229D Partial traumatic amputation of unspecified breast, subsequent encounter
        • S28.229S Partial traumatic amputation of unspecified breast, sequela

Instructional Notations

7th Character Note

Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

  • The appropriate 7th character is to be added to each code from category S28

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

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