S22.43XG (Multiple fractures of ribs, bilateral, subsequent encounter for fracture with delayed healing) compared with T33 (Superficial frostbite), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“frostbite (T33-T34)”
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. S22.43XG carries an Excludes2 note covering T33: “frostbite (T33-T34)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S22.43XGMultiple fractures of ribs, bilateral, subsequent encounter for fracture with delayed healing | T33Superficial frostbite | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: T33.011A, T33.011D, T33.011S, T33.012A, T33.012D |
| 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, bilateral, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S22.43G). | Superficial frostbite is a non-billable ICD-10-CM category code (T33). |
| 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 T33 |
| Includes | fracture of thoracic neural arch fracture of thoracic spinous process fracture of thoracic transverse process fracture of thoracic vertebra | frostbite with partial thickness skin loss |
| 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