Effective from
- Inherited rules changed
Multiple fractures of ribs, bilateral
Category — select a more specific code
CDC/NCHS · FY2027code to identify any retained foreign body, if applicable (Z18.-)
transection of thorax (S28.1)
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
flail chest (S22.5-)
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2015-10-01
Latest recorded change · FY2027
Effective from
Multiple fractures of ribs, bilateral
Category — select a more specific code
CDC/NCHS · FY2027| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | No tabular change |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | Inherited rules changed |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | Inherited rules changed |
| FY2025 · 04-01 | 2025-04-01 | Inherited rules changed |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | Inherited rules changed |
The official Tabular List has no additional instructions at this code level.
Review the instructions inherited from its parent categories below. Inherited instructions ↓
code to identify any retained foreign body, if applicable (Z18.-)
transection of thorax (S28.1)
The appropriate 7th character is to be added to each code from category S22
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
Fractures of two or more ribs
flail chest (S22.5-)
S22.43XAMultiple fractures of ribs, bilateral, initial encounter for closed fractureBillable / specificS22.43XBMultiple fractures of ribs, bilateral, initial encounter for open fractureBillable / specificS22.43XDMultiple fractures of ribs, bilateral, subsequent encounter for fracture with routine healingBillable / specificS22.43XGMultiple fractures of ribs, bilateral, subsequent encounter for fracture with delayed healingBillable / specificS22.43XKMultiple fractures of ribs, bilateral, subsequent encounter for fracture with nonunionBillable / specificS22.43XSMultiple fractures of ribs, bilateral, sequelaBillable / specificOther entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| S22.41 | Multiple fractures of ribs, right side | Category · further specificity required |
| S22.42 | Multiple fractures of ribs, left side | Category · further specificity required |
| S22.49 | Multiple fractures of ribs, unspecified side | Category · further specificity required |
Official titles and instructions are preserved in their source language. Official sources ↗