S22.23XK (Sternal manubrial dissociation, subsequent encounter for fracture with nonunion) compared with S42.1 (Fracture of scapula), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“fracture of scapula (S42.1-)”
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. S22.23XK carries an Excludes2 note covering S42.1: “fracture of scapula (S42.1-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S22.23XKSternal manubrial dissociation, subsequent encounter for fracture with nonunion | S42.1Fracture of scapula | |
|---|---|---|
| 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 nonunion is a billable ICD-10-CM diagnosis code (S22.23K). | Fracture of scapula is a non-billable ICD-10-CM category code (S42.1). |
| 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 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