S22.31XA (Fracture of one rib, right side, initial encounter for closed fracture) compared with T17.4 (Foreign body in trachea), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“effects of foreign body in trachea (T17.4)”
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. S22.31XA carries an Excludes2 note covering T17.4: “effects of foreign body in trachea (T17.4)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S22.31XAFracture of one rib, right side, initial encounter for closed fracture | T17.4Foreign body in trachea | |
|---|---|---|
| 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 | Fracture of one rib, right side, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S22.31A). | Foreign body in trachea is a non-billable ICD-10-CM category code (T17.4). |
| 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 T17 |
| 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