S22.43XK Multiple fractures of ribs, bi, subs for fx w nonunion
Instructional Notes:
S22.43XK Description: Multiple fractures of ribs, bi, subs for fx w nonunion ↓
S22.43 Description: Multiple fractures of ribs, bilateral ↓
S22.4 Description: Multiple fractures of ribs Exclude1:
flail chest (S22.5-)
Inclusion Term:
Fractures of two or more ribs
↓
S22 Description: Fracture of rib(s), sternum and thoracic spine Exclude1:
transection of thorax (S28.1)
Exclude2:
fracture of clavicle (S42.0-)
fracture of scapula (S42.1-)
Notes:
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
Include:
fracture of thoracic neural arch
fracture of thoracic spinous process
fracture of thoracic transverse process
fracture of thoracic vertebra
fracture of thoracic vertebral arch
Code Also: [', 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)'] ↓
S20-S29 Description: Injuries to the thorax (S20-S29) Exclude2:
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)
Include:
injuries of breast
injuries of chest (wall)
injuries of interscapular area
↓
S00-T88 Description: Injury, poisoning and certain other consequences of external causes Exclude2:
birth trauma (P10-P15)
obstetric trauma (O70-O71)
Notes:
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
Use Additional Code:
code to identify any retained foreign body, if applicable (Z18.-)