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S22.41XG vs S22.49XG

S22.41XG (Multiple fractures of ribs, right side, subsequent encounter for fracture with delayed healing) compared with S22.49XG (Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with delayed healing), from the official CMS tabular data. S22.41XG and S22.49XG code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S22.41XG
Right
Multiple fractures of ribs, right side, subsequent encounter for fracture with delayed healing
↔
S22.49XG
Unspecified
Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with delayed healing

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. S22.41XG and S22.49XG 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

S22.41XGMultiple fractures of ribs, right side, subsequent encounter for fracture with delayed healingS22.49XGMultiple fractures of ribs, unspecified side, subsequent encounter for fracture with delayed healing
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)
DefinitionMultiple fractures of ribs, right side, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S22.41G).Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S22.49G).
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-)
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources