S22.49XS vs S28.1
S22.49XS (Multiple fractures of ribs, unspecified side, sequela) compared with S28.1 (Traumatic amputation (partial) of part of thorax, except breast), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. S22.49XS carries an Excludes1 note covering S28.1: “transection of thorax (S28.1)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| S22.49XSMultiple fractures of ribs, unspecified side, sequela | S28.1Traumatic amputation (partial) of part of thorax, except breast | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| 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, unspecified side, sequela is a billable ICD-10-CM diagnosis code (S22.49S). | Traumatic amputation (partial) of part of thorax, except breast is a non-billable ICD-10-CM category code (S28.1). |
| 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 each code from category S28 |
| Includes | fracture of thoracic neural arch fracture of thoracic spinous process fracture of thoracic transverse process fracture of thoracic vertebra | injuries of breast injuries of chest (wall) injuries of interscapular area |
| 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