S22.23XG (Sternal manubrial dissociation, subsequent encounter for fracture with delayed healing) compared with S42.0 (Fracture of clavicle), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“fracture of clavicle (S42.0-)”
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: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S22.23XG carries an Excludes2 note covering S42.0: “fracture of clavicle (S42.0-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S22.23XGSternal manubrial dissociation, subsequent encounter for fracture with delayed healing | S42.0Fracture of clavicle | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| 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, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S22.23G). | Fracture of clavicle is a non-billable ICD-10-CM category code (S42.0). |
| 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 all codes from category S42 |
| Includes | fracture of thoracic neural arch fracture of thoracic spinous process fracture of thoracic transverse process fracture of thoracic vertebra | injuries of axilla injuries of scapular region |
| 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