S22 vs T20

S22 (Fracture of rib(s), sternum and thoracic spine) compared with T20 (Burn and corrosion of head, face, and neck), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S22 carries an Excludes2 note covering T20: “burns and corrosions (T20-T32)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

	S22Fracture of rib(s), sternum and thoracic spine	T20Burn and corrosion of head, face, and neck
Billing status	Non-billable header Report instead: S22.000A, S22.000B, S22.000D, S22.000G, S22.000K	Non-billable header Report instead: T20.00XA, T20.00XD, T20.00XS, T20.011A, T20.011D
Classification	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
Definition	Fracture of rib(s), sternum and thoracic spine is a non-billable ICD-10-CM category code (S22).	Burn and corrosion of head, face, and neck is a non-billable ICD-10-CM category code (T20).
7th character	The appropriate 7th character is to be added to each code from category S22	The appropriate 7th character is to be added to each code from category T20
Includes	fracture of thoracic neural arch fracture of thoracic spinous process fracture of thoracic transverse process fracture of thoracic vertebra	burns and corrosions of first degree [erythema] burns and corrosions of second degree [blisters][epidermal loss] burns and corrosions of third degree [deep necrosis of underlying tissue] [full- thickness skin loss]
Use additional code	—	code from category T31 or T32 to identify extent of body surface involved
Code first	, if applicable, spinal cord injury (S24.0-, S24.1-)	—

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources