ICD-10 Coding for Broken Rib(S22.3XXA, S22.4XXA, S22.5XXA)
Complete ICD-10-CM coding and documentation guide for Broken Rib. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Broken Rib
S22.3-S22.5Primary Range
Fracture of rib(s), sternum and thoracic spine
This range covers single and multiple rib fractures, including flail chest.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S22.3XXA | Fracture of one rib, initial encounter | For initial encounters of a single rib fracture. |
|
| S22.4XXA | Fracture of multiple ribs, initial encounter | For initial encounters of multiple rib fractures. |
|
| S22.5XXA | Flail chest | For initial encounters of flail chest. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for broken rib
Essential facts and insights about Broken Rib
Primary ICD-10-CM Codes for broken rib
Decision Criteria
clinical Criteria
- Radiologic evidence of a single rib fracture
Applicable To
- Single rib fracture
Excludes
- Multiple rib fractures (S22.4-)
Clinical Validation Requirements
- Radiologic confirmation of fracture
- Documentation of laterality
Code-Specific Risks
- Incorrect laterality specification
Coding Notes
- Ensure laterality is specified.
S22.4XXA - Fracture of multiple ribs, initial encounter
For initial encounters of multiple rib fractures.
Applicable To
- Multiple rib fractures
Excludes
- Single rib fracture (S22.3-)
Clinical Validation Requirements
- Radiologic confirmation of multiple fractures
- Documentation of laterality
Coding Notes
Ensure number of ribs and laterality are specified.
S22.5XXA - Flail chest
For initial encounters of flail chest.
Applicable To
- Flail chest
Excludes
- Single or multiple rib fractures without flail chest
Clinical Validation Requirements
- Radiologic confirmation of flail chest
- Documentation of paradoxical chest movement
Coding Notes
Ensure documentation of paradoxical movement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Traumatic pneumothorax
S27.0XXADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Broken Rib to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S22.3XXA.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always include mechanism in initial assessment., Use standardized templates.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Always specify laterality when imaging results are available.
Impact
Reimbursement: Incorrect coding may affect surgical procedure billing., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Misleading clinical data.
Mitigation Strategy
Ensure documentation distinguishes between fracture type and treatment method.
Impact
High risk of audit if laterality is not documented.
Mitigation Strategy
Implement mandatory laterality documentation in EHR.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Broken Rib, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Broken Rib
Use these documentation templates to ensure complete and accurate documentation for Broken Rib. These templates include all required elements for proper coding and billing.
Emergency Department Rib Fracture
Specialty: Emergency MedicineRequired Elements
- Mechanism of injury
- Imaging results
- Physical exam findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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