Multiple fractures of ribs, unspecified side

• birth trauma (P10-P15)
• obstetric trauma (O70-O71)

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.

• 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)

• 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)

• fracture of clavicle (S42.0-)
• fracture of scapula (S42.1-)

• , 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)

• 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

The appropriate 7th character is to be added to each code from category S22

Fractures of two or more ribs

flail chest (S22.5-)