S22.42XK vs S42.1
S22.42XK (Multiple fractures of ribs, left side, 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).
Can these codes be reported together?
Yes, when both are documented. S22.42XK carries an Excludes2 note covering S42.1: “fracture of scapula (S42.1-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S22.42XKMultiple fractures of ribs, left side, subsequent encounter for fracture with nonunion | S42.1Fracture of scapula | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S42.101A, S42.101B, S42.101D, S42.101G, S42.101K |
| 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 | Multiple fractures of ribs, left side, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S22.42K). | 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