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S22.028A vs S22.028D

S22.028A (Other fracture of second thoracic vertebra, initial encounter for closed fracture) compared with S22.028D (Other fracture of second thoracic vertebra, subsequent encounter for fracture with routine healing), from the official CMS tabular data. S22.028A and S22.028D code the same injury at a different phase of treatment.

Relationship

Review

Encounter relationship

S22.028A
Initial encounter
Other fracture of second thoracic vertebra, initial encounter for closed fracture
↔
S22.028D
Subsequent encounter
Other fracture of second thoracic vertebra, subsequent encounter for fracture with routine healing

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S22.028A and S22.028D 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

S22.028AOther fracture of second thoracic vertebra, initial encounter for closed fractureS22.028DOther fracture of second thoracic vertebra, subsequent encounter for fracture with routine healing
Billing statusBillableBillable
ClassificationS00-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)
DefinitionOther fracture of second thoracic vertebra, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S22.028A).Other fracture of second thoracic vertebra, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S22.028D).
7th characterThe appropriate 7th character is to be added to each code from category S22The 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-)
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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