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S22.31XB vs S22.39XB

S22.31XB (Fracture of one rib, right side, initial encounter for open fracture) compared with S22.39XB (Fracture of one rib, unspecified side, initial encounter for open fracture), from the official CMS tabular data. S22.31XB and S22.39XB code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S22.31XB
Right
Fracture of one rib, right side, initial encounter for open fracture
S22.39XB
Unspecified
Fracture of one rib, unspecified side, initial encounter for open fracture

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S22.31XB and S22.39XB name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S22.31XBFracture of one rib, right side, initial encounter for open fractureS22.39XBFracture of one rib, unspecified side, initial encounter for open fracture
Billing statusBillableBillable
ClassificationS00-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)
DefinitionFracture of one rib, right side, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S22.31B).Fracture of one rib, unspecified side, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S22.39B).
7th characterThe appropriate 7th character is to be added to each code from category S22The appropriate 7th character is to be added to each code from category S22
Includes
fracture of thoracic neural arch
fracture of thoracic spinous process
fracture of thoracic transverse process
fracture of thoracic vertebra
fracture of thoracic neural arch
fracture of thoracic spinous process
fracture of thoracic transverse process
fracture of thoracic vertebra
Code first
, if applicable, spinal cord injury (S24.0-, S24.1-)
, 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