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S22.080G vs T18.1

S22.080G (Wedge compression fracture of T11-T12 vertebra, subsequent encounter for fracture with delayed healing) compared with T18.1 (Foreign body in esophagus), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

These codes can be reported together when both conditions are documented, because S22.080G lists T18.1 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.S22.080G is “Wedge compression fracture of T11-T12 vertebra, subsequent encounter for fracture with delayed healing”; T18.1 is “Foreign body in esophagus”. T18.1 is a non-billable header; S22.080G is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.S22.080G lists T18.1 under Excludes2: “effects of foreign body in esophagus (T18.1)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. S22.080G carries 1 Excludes1 note covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.S22.080G’s tabular entry: “effects of foreign body in esophagus (T18.1)”. The note covers T18.1.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.T18.1 is a non-billable header, but S22.080G is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

S22.080G
Wedge compression fracture of T11-T12 vertebra, subsequent encounter for fracture with delayed healing
↔
T18.1
Foreign body in esophagus

What we found

Yes, when both are documented.S22.080G carries an Excludes2 note covering T18.1: “effects of foreign body in esophagus (T18.1)”

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

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2027

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
S22.080G

Wedge compression fracture of T11-T12 vertebra, subsequent encounter for fracture with delayed healing

T18.1

Foreign body in esophagus

StatusDiffers
S22.080G
Billable
T18.1
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: T18.100A, T18.100D, T18.100S, T18.108A, T18.108D

Excludes1Differs
S22.080G
  • transection of thorax (S28.1)
T18.1

None at this code

Excludes2Differs
S22.080G
  • fracture of clavicle (S42.0-)
  • fracture of scapula (S42.1-)
  • burns and corrosions (T20-T32)
  • effects of foreign body in bronchus (T17.5)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in lung (T17.8)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • injuries of axilla
  • injuries of clavicle
  • injuries of scapular region
  • injuries of shoulder
  • insect bite or sting, venomous (T63.4)
T18.1
  • foreign body in respiratory tract (T17.-)
  • foreign body in pharynx (T17.2-)
  • foreign body accidentally left in operation wound (T81.5-)
  • foreign body in penetrating wound - See open wound by body region
  • residual foreign body in soft tissue (M79.5)
  • splinter, without open wound - See superficial injury by body region
Code firstDiffers
S22.080G
  • , if applicable, spinal cord injury (S24.0-, S24.1-)
T18.1

None at this code

Use additional codeDiffers
S22.080G

None at this code

T18.1
  • code, if known, for foreign body entering into or through a natural orifice (W44.-)
Code alsoDiffers
S22.080G
  • , if applicable, any associated condition such as:
  • injury of intrathoracic organ (S27.-)
  • traumatic hemopneumothorax (S27.2)
  • traumatic hemothorax (S27.1-)
  • traumatic pneumothorax (S27.0)
T18.1

None at this code

CategoryDiffers
S22.080G

S22 Fracture of rib(s), sternum and thoracic spine

T18.1

T18 Foreign body in alimentary tract

ChapterSame for both

S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)

IncludesDiffers
S22.080G
  • fracture of thoracic neural arch
  • fracture of thoracic spinous process
  • fracture of thoracic transverse process
  • fracture of thoracic vertebra
T18.1

None at this code

7th characterDiffers
S22.080G
  • The appropriate 7th character is to be added to each code from category S22
T18.1
  • The appropriate 7th character is to be added to each code from category T18

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, notes every code shares are dimmed.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources