S22.0 vs S23.1
S22.0 (Fracture of thoracic vertebra) compared with S23.1 (Subluxation and dislocation of thoracic vertebra), 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. S23.1 carries an Excludes2 note covering S22.0: “fracture of thoracic vertebrae (S22.0-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S22.0Fracture of thoracic vertebra | S23.1Subluxation and dislocation of thoracic vertebra | |
|---|---|---|
| Billing status | Non-billable header Report instead: S22.000A, S22.000B, S22.000D, S22.000G, S22.000K | Non-billable header Report instead: S23.100A, S23.100D, S23.100S, S23.101A, S23.101D |
| 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 thoracic vertebra is a non-billable ICD-10-CM category code (S22.0). | Subluxation and dislocation of thoracic vertebra is a non-billable ICD-10-CM category code (S23.1). |
| 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 S23 |
| Includes | fracture of thoracic neural arch fracture of thoracic spinous process fracture of thoracic transverse process fracture of thoracic vertebra | avulsion of joint or ligament of thorax laceration of cartilage, joint or ligament of thorax sprain of cartilage, joint or ligament of thorax traumatic hemarthrosis of joint or ligament of thorax |
| Code first | , if applicable, spinal cord injury (S24.0-, S24.1-) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources