S22.23XA vs T18.1
S22.23XA (Sternal manubrial dissociation, initial encounter for closed fracture) compared with T18.1 (Foreign body in esophagus), 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. S22.23XA 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.
Side by side
| S22.23XASternal manubrial dissociation, initial encounter for closed fracture | T18.1Foreign body in esophagus | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: T18.100A, T18.100D, T18.100S, T18.108A, T18.108D |
| 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 | Sternal manubrial dissociation, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S22.23A). | Foreign body in esophagus is a non-billable ICD-10-CM category code (T18.1). |
| 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 T18 |
| Includes | fracture of thoracic neural arch fracture of thoracic spinous process fracture of thoracic transverse process fracture of thoracic vertebra | — |
| Use additional code | — | code, if known, for foreign body entering into or through a natural orifice (W44.-) |
| 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