S22.39XD
Fracture of one rib, unspecified side, subsequent encounter for fracture with routine healing
This code does not map to a risk-adjusting HCC in the loaded models.
Coding notes
Excludes 1 never coded together · Excludes 2 may co-exist
fracture of thoracic neural arch fracture of thoracic spinous process fracture of thoracic transverse process fracture of thoracic vertebra fracture of thoracic vertebral arch
transection of thorax (S28.1)
, if applicable, any associated condition such as: injury of intrathoracic organ (S27.-) spinal cord injury (S24.0-, S24.1-) traumatic hemopneumothorax (S27.2) traumatic hemothorax (S27.1-) traumatic pneumothorax (S27.0)
The appropriate 7th character is to be added to each code from category S22
| Character | Meaning |
|---|---|
| A | initial encounter for closed fracture |
| B | initial encounter for open fracture |
| D | subsequent encounter for fracture with routine healing |
| G | subsequent encounter for fracture with delayed healing |
| K | subsequent encounter for fracture with nonunion |
| S | sequela |
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
injuries of breast injuries of chest (wall) injuries of interscapular area
burns and corrosions (T20-T32) effects of foreign body in bronchus (T17.5) effects of foreign body in esophagus (T18.1) effects of foreign body in lung (T17.8) effects of foreign body in trachea (T17.4) frostbite (T33-T34) injuries of axilla injuries of clavicle injuries of scapular region injuries of shoulder insect bite or sting, venomous (T63.4)
code to identify any retained foreign body, if applicable (Z18.-)
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. (T07-T88) Injury, poisoning and certain other consequences of external causes (T07-T88) (T20-T32) Burns and corrosions (T20-T32) Includes: burns (thermal) from electrical heating appliances burns (thermal) from electricity burns (thermal) from flame burns (thermal) from friction burns (thermal) from hot air and hot gases burns (thermal) from hot objects burns (thermal) from lightning burns (thermal) from radiation chemical burn [corrosion] (external) (internal) scalds Excludes2: erythema [dermatitis] ab igne (L59.0) radiation-related disorders of the skin and subcutaneous tissue (L55-L59) sunburn (L55.-)
Official Guidelines for S22.39XD
FY 2026 ›Subsections
- I.C.19.aApplication of 7th Characters in Chapter 19
- I.C.19.bCoding of Injuries
- I.C.19.cCoding of Traumatic Fractures
- I.C.19.dCoding of Burns and Corrosions
- I.C.19.eAdverse Effects, Poisoning, Underdosing and Toxic Effects
- I.C.19.fAdult and child abuse, neglect and other maltreatment
- I.C.19.gComplications of care
Sections that reference S22.39XD
- I.C.19.cCoding of Traumatic Fractures
… Fractures of specified sites are coded individually by site in accordance with both the provisions within categories S02, S12, S22, S32, S42, S49, S52, S59, S62, S72, S79, S82, S89, S92 and the level of detail furnished by medical record content. …
- I.C.19.bCoding of Injuries
… Traumatic injury codes (S00- T14.9) are not to be used for normal, healing surgical wounds or to identify complications of surgical wounds. …
Sections whose FY 2026 text names S22.39XD, its S22 category, or a range containing it — the chapter guidance above is the authoritative source.