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ICD-10/S22.22XS

S22.22XS ICD-10-CM Code: Fracture of body of sternum, sequela

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 551 — MEDICAL BACK PROBLEMS WITH MCC (MDC 08)
  • MS-DRG 552 — MEDICAL BACK PROBLEMS WITHOUT MCC (MDC 08)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Fracture of body of sternum, sequela is a billable ICD-10-CM diagnosis code (S22.22S).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S22.22XS in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • fracture of thoracic neural arch
  • fracture of thoracic spinous process
  • fracture of thoracic transverse process
  • fracture of thoracic vertebra
  • fracture of thoracic vertebral arch
  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code First

Underlying conditions that must be sequenced before this code.

  • Code first, if applicable, spinal cord injury (S24.0-, S24.1-)

Code Also

Additional codes that may be required to fully describe the encounter.

  • Code also, if applicable, any associated condition such as:
  • injury of intrathoracic organ (S27.-)
  • traumatic hemopneumothorax (S27.2)
  • traumatic hemothorax (S27.1-)
  • traumatic pneumothorax (S27.0)

Change history

  • FY2027 — 2026-10-01
    Code First note added
    , if applicable, spinal cord injury (S24.0-, S24.1-)
    FY2027 changes
  • FY2027 — 2026-10-01
    Code Also note removed
    spinal cord injury (S24.0-, S24.1-)
    FY2027 changes

Verify Before Coding

  • Billable — reportable as written.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of S22.22XS in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • S20-S29 — Injuries to the thorax [Hierarchy]

Referenced by Excludes1 notes

  • M48.5 — Collapsed vertebra, not elsewhere classified [Excludes1](via S22.-): “traumatic fracture of vertebra (S12.-, S22.-, S32.-)”
  • M84.3 — Stress fracture [Excludes1](via S22.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)”
  • M84.4 — Pathological fracture, not elsewhere classified [Excludes1](via S22.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)”

Clinical classification (CCSR)

  • INJ073 — Injury, sequela [CCSR]

Potential MS-DRG

  • DRG 551 — MEDICAL BACK PROBLEMS WITH MCC [MS-DRG]: “MEDICAL BACK PROBLEMS WITH MCC (MDC 08)”
  • DRG 552 — MEDICAL BACK PROBLEMS WITHOUT MCC [MS-DRG]: “MEDICAL BACK PROBLEMS WITHOUT MCC (MDC 08)”

Nearest codes (40)

  • S22 — Fracture of rib(s), sternum and thoracic spine [Sibling]
  • S22.20 — Unspecified fracture of sternum [Sibling]
  • S22.20XA — Unspecified fracture of sternum, initial encounter for closed fracture [Sibling]
  • S22.20XB — Unspecified fracture of sternum, initial encounter for open fracture [Sibling]
  • S22.20XD — Unspecified fracture of sternum, subsequent encounter for fracture with routine healing [Sibling]
  • S22.20XG — Unspecified fracture of sternum, subsequent encounter for fracture with delayed healing [Sibling]
  • S22.20XK — Unspecified fracture of sternum, subsequent encounter for fracture with nonunion [Sibling]
  • S22.20XS — Unspecified fracture of sternum, sequela [Sibling]
  • and 32 more

Change history (2)

  • FY2027 — Code First note added [Change history]
  • and 1 more

Referenced by Other Codes

Clinical classification (AHRQ CCSR):INJ073 — Injury, sequela (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 551 (MDC 08), DRG 552 (MDC 08).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name S22.22XS or its code family.

3 Excludes1 notes: M48.5 (via S22.-), M84.3 (via S22.-), M84.4 (via S22.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S22.22XS require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S22.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S22.22XS in its code family, with their registry titles.

  • S22.22XA — Fracture of body of sternum, initial encounter for closed fracture
  • S22.22XB — Fracture of body of sternum, initial encounter for open fracture
  • S22.22XD — Fracture of body of sternum, subsequent encounter for fracture with routine healing
  • S22.22XG — Fracture of body of sternum, subsequent encounter for fracture with delayed healing
  • S22.22XK — Fracture of body of sternum, subsequent encounter for fracture with nonunion
  • S22.23 — Sternal manubrial dissociation
  • S22.23XA — Sternal manubrial dissociation, initial encounter for closed fracture
  • S22.23XB — Sternal manubrial dissociation, initial encounter for open fracture
  • S22.23XD — Sternal manubrial dissociation, subsequent encounter for fracture with routine healing
  • S22.23XG — Sternal manubrial dissociation, subsequent encounter for fracture with delayed healing

View all codes in the S22 family