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S22.42XD vs S22.49XD

S22.42XD (Multiple fractures of ribs, left side, subsequent encounter for fracture with routine healing) compared with S22.49XD (Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with routine healing), from the official CMS tabular data. S22.42XD and S22.49XD code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S22.42XD
Left
Multiple fractures of ribs, left side, subsequent encounter for fracture with routine healing
↔
S22.49XD
Unspecified
Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with routine 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. S22.42XD and S22.49XD 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

S22.42XDMultiple fractures of ribs, left side, subsequent encounter for fracture with routine healingS22.49XDMultiple fractures of ribs, unspecified side, subsequent encounter for fracture with routine 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, left side, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S22.42D).Multiple fractures of ribs, unspecified side, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S22.49D).
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