S22.008A vs S22.008D
S22.008A (Other fracture of unspecified thoracic vertebra, initial encounter for closed fracture) compared with S22.008D (Other fracture of unspecified thoracic vertebra, subsequent encounter for fracture with routine healing), from the official CMS tabular data. S22.008A and S22.008D code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S22.008A and S22.008D code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
Side by side
| S22.008AOther fracture of unspecified thoracic vertebra, initial encounter for closed fracture | S22.008DOther fracture of unspecified thoracic vertebra, subsequent encounter for fracture with routine healing | |
|---|---|---|
| Billing status | Billable | Billable |
| 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 | Other fracture of unspecified thoracic vertebra, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S22.008A). | Other fracture of unspecified thoracic vertebra, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S22.008D). |
| 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 S22 |
| Includes | fracture of thoracic neural arch fracture of thoracic spinous process fracture of thoracic transverse process fracture of thoracic vertebra | fracture of thoracic neural arch fracture of thoracic spinous process fracture of thoracic transverse process fracture of thoracic vertebra |
| Code first | , if applicable, spinal cord injury (S24.0-, S24.1-) | , 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