S22.23XB vs T33
S22.23XB (Sternal manubrial dissociation, initial encounter for open fracture) compared with T33 (Superficial frostbite), 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. S22.23XB carries an Excludes2 note covering T33: “frostbite (T33-T34)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S22.23XBSternal manubrial dissociation, initial encounter for open fracture | T33Superficial frostbite | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: T33.011A, T33.011D, T33.011S, T33.012A, T33.012D |
| 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 open fracture is a billable ICD-10-CM diagnosis code (S22.23B). | Superficial frostbite is a non-billable ICD-10-CM category code (T33). |
| 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 T33 |
| Includes | fracture of thoracic neural arch fracture of thoracic spinous process fracture of thoracic transverse process fracture of thoracic vertebra | frostbite with partial thickness skin loss |
| 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