S22.31XB ICD-10-CM Code: Fracture of one rib, right side, initial encounter for open fracture
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- 7th character
- Required — see the character table on this page
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 183 — MAJOR CHEST TRAUMA WITH MCC (MDC 04)
- MS-DRG 184 — MAJOR CHEST TRAUMA WITH CC (MDC 04)
- MS-DRG 185 — MAJOR CHEST TRAUMA WITHOUT CC/MCC (MDC 04)
- MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
- MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
- MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)
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.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for S22.31XB in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on S22.31XB itself; “inherited from” names the category or block whose note applies here.
This page already reflects the FY2027 tabular note taking effect October 1, 2026.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- fracture of thoracic neural arch inherited from S22
- fracture of thoracic spinous process inherited from S22
- fracture of thoracic transverse process inherited from S22
- fracture of thoracic vertebra inherited from S22
- fracture of thoracic vertebral arch inherited from S22
- injuries of breast inherited from S20-S29
- injuries of chest (wall) inherited from S20-S29
- injuries of interscapular area inherited from S20-S29
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).
- transection of thorax (S28.1) Compare S22.31XB vs S28.1 →
Source: inherited from S22
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- fracture of clavicle (S42.0-) inherited from S22Compare S22.31XB vs S42.0 →
- fracture of scapula (S42.1-) inherited from S22Compare S22.31XB vs S42.1 →
- burns and corrosions (T20-T32) inherited from S20-S29Compare S22.31XB vs T20 →
- effects of foreign body in bronchus (T17.5) inherited from S20-S29Compare S22.31XB vs T17.5 →
- effects of foreign body in esophagus (T18.1) inherited from S20-S29Compare S22.31XB vs T18.1 →
- effects of foreign body in lung (T17.8) inherited from S20-S29Compare S22.31XB vs T17.8 →
- effects of foreign body in trachea (T17.4) inherited from S20-S29Compare S22.31XB vs T17.4 →
- frostbite (T33-T34) inherited from S20-S29Compare S22.31XB vs T33 →
- injuries of axilla inherited from S20-S29
- injuries of clavicle inherited from S20-S29
- injuries of scapular region inherited from S20-S29
- injuries of shoulder inherited from S20-S29
- insect bite or sting, venomous (T63.4) inherited from S20-S29Compare S22.31XB vs T63.4 →
Code First
Underlying conditions that must be sequenced before this code.
Source: inherited from S22
7th Character Guide
"The appropriate 7th character is to be added to each code from category S22"
- A — initial encounter for closed fracture
- B — initial encounter for open fracture (this page’s code)
- D — subsequent encounter for fracture with routine healing
- G — subsequent encounter for fracture with delayed healing
- K — subsequent encounter for fracture with nonunion
- S — sequela
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
S22.31XA, S22.31XB, S22.31XD, S22.31XG, S22.31XK, S22.31XS
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Coder workflow for S22.31XB
MedCoder structured workflow — derived from this code’s own official record
Before you code S22.31XB
- A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. This page’s code carries “B”. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).
See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →
- Laterality is coded in this family. Confirm the side documented — right, left, or bilateral — and select the matching code (this page’s code: right). The unspecified-side code applies only when the record states no side. Laterality is assigned from the documented side; where a bilateral code exists and both sides are documented, it is used instead of two unilateral codes (Guidelines I.B.13).
- Confirm the injury type, the anatomical site at the most specific level documented, laterality where the family codes it, and the encounter for the 7th character. Each injury is coded separately unless the classification provides a combination code, and a superficial injury is not coded when a more severe injury of the same site is documented. A fracture not documented as open or closed is coded as closed; one not documented as displaced or nondisplaced is coded as displaced. Injury chapter guidelines (Guidelines I.C.19.b, I.C.19.b.1, I.C.19.c).
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with S22.31XB. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in S22.31XB’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.ReviewS28.1
- Is the underlying (etiologic) condition the Code First note names documented?
Yes → Sequence the underlying condition first, then S22.31XB.
No → Continue; do not add an underlying condition the record does not document. - Is the side documented?
Yes → Select the code for the documented side (or the bilateral code when both sides are documented and one exists).
No → Use the unspecified-side code only when the record states no side; a query is the alternative. - Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
No → The code is invalid without its 7th character — query for the missing element.
Consider S22.31XB. Then review the Code Also note, and confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Anatomical site
- At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
- Laterality
- Right, left or bilateral as documented; unspecified only when the record states no side (Guidelines I.B.13).
- Encounter type
- Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).
- Open or closed; displaced or nondisplaced
- Defaults apply when the record is silent: closed, and displaced (Guidelines I.C.19.c).
- The underlying (etiologic) condition
- Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).
- External cause, place and activity
- For the external cause codes reported with the injury or poisoning, where documented (Guidelines I.C.20.a).
Official instructions as workflow
Excludes1 — check before selecting S22.31XB(1 note)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with S22.31XB: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareS28.1
See the official tabular notes · Guidelines I.A.12.a
Excludes2 — not part of S22.31XB(13 notes)
Coding workflow: The conditions named in this note are not included in S22.31XB. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareS42.0, S42.1, T17.5, T18.1, T17.8, T17.4
See the official tabular notes · Guidelines I.A.12.b
Code First — sequencing check(1 note)
Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before S22.31XB. Do not add an underlying condition the record does not document.
See the official tabular notes · Guidelines I.A.13
Code Also — related condition(5 notes)
Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.
ReviewS27, S27.2, S27.1, S27.0
See the official tabular notes · Guidelines I.A.17
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition S22.31XB describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
ReviewS28.1
Documentation: The patient returns during the healing or recovery phase after active treatment of the same condition.
Coding question: Which 7th character applies?
Path: Review the official 7th-character definitions for this family in the 7th Character Guide.
Reason: “Initial encounter” means active treatment, not the first visit; care during recovery takes “subsequent encounter”, and a complication arising from the original condition takes “sequela” (Guidelines I.C.19.a).
Documentation: The record documents the condition on one side only.
Coding question: Which code in this family applies?
Path: Select the sibling code for the documented side.
Reason: Laterality is assigned from the documented side; the unspecified-side code is for records that state no side (Guidelines I.B.13).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Coding Guidelines
Official source data — quoted verbatim from the CMS/NCHS Official Guidelines
Official source data — quoted verbatim from the CMS/NCHS Official Guidelines
Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.
Chapter 19: Injury, poisoning, and certain other consequences of external causes (S00-T88)
c. Coding of Traumatic Fractures The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site in accordance with both the provisions within categories S02, S12, S22, S32, S42, S49, S52, S59, S62, S72, S79, S82, S89, S92 and the level of detail furnished by medical record content.
Decision Points
The directives on this code's own record, as a pre-claim checklist.
- A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
- Laterality is coded in this family. Confirm the documented side matches the code — the opposite-side siblings are in the relationships section. See the opposite-side sibling codes
- Sequencing: 1 Code First instruction — the underlying condition is sequenced before this code when present. See the Code First notes
- 5 Code Also notes — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
- 1 Excludes1 entry — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
- 13 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes
Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.
Verify Before Coding
- MCC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name S22.31XB or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 3 Excludes1 notes: M48.5 — Collapsed vertebra, not elsewhere classified (via S22.-), M84.3 — Stress fracture (via S22.-), M84.4 — Pathological fracture, not elsewhere classified (via S22.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 1 Code Also instruction: S21 — Open wound of thorax (via S22.3.-).
These codes suggest coding this condition alongside when both are present.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
MCC — Major Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 40 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 6 MS-DRGs: DRG 183 (MDC 04), DRG 184 (MDC 04), DRG 185 (MDC 04), DRG 963 (MDC 24), DRG 964 (MDC 24), DRG 965 (MDC 24).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ003 — Fracture of torso, initial encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical process (MS-DRG)
Acts as MCC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
M96.A4 — Flail chest associated with chest compression and cardiopulmonary resuscitation, S03.8XXA — Sprain of joints and ligaments of other parts of head, initial encounter, S03.9XXA — Sprain of joints and ligaments of unspecified parts of head, initial encounter, S22.31XA — Fracture of one rib, right side, initial encounter for closed fracture, S22.32XA — Fracture of one rib, left side, initial encounter for closed fracture, S22.32XB — Fracture of one rib, left side, initial encounter for open fracture, S22.39XA — Fracture of one rib, unspecified side, initial encounter for closed fracture, S22.39XB — Fracture of one rib, unspecified side, initial encounter for open fracture, S22.41XA — Multiple fractures of ribs, right side, initial encounter for closed fracture, S22.41XB — Multiple fractures of ribs, right side, initial encounter for open fracture, S22.42XA — Multiple fractures of ribs, left side, initial encounter for closed fracture, S22.42XB — Multiple fractures of ribs, left side, initial encounter for open fracture, S22.43XA — Multiple fractures of ribs, bilateral, initial encounter for closed fracture, S22.43XB — Multiple fractures of ribs, bilateral, initial encounter for open fracture, S22.49XA — Multiple fractures of ribs, unspecified side, initial encounter for closed fracture, S22.5XXA — Flail chest, initial encounter for closed fracture, S22.5XXB — Flail chest, initial encounter for open fracture, S29.011A — Strain of muscle and tendon of front wall of thorax, initial encounter, S29.012A — Strain of muscle and tendon of back wall of thorax, initial encounter, S29.019A — Strain of muscle and tendon of unspecified wall of thorax, initial encounter, +19 more
Same condition, opposite side
Same category and title, differing only in which side of the body is affected.
S22.32XB — Fracture of one rib, left side, initial encounter for open fracture (left)Compare S22.31XB vs S22.32XB →, S22.39XB — Fracture of one rib, unspecified side, initial encounter for open fracture (unspecified)Compare S22.31XB vs S22.39XB →
Same injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
S22.31XA — Fracture of one rib, right side, initial encounter for closed fractureCompare S22.31XB vs S22.31XA →, S22.31XD — Fracture of one rib, right side, subsequent encounter for fracture with routine healing, S22.31XG — Fracture of one rib, right side, subsequent encounter for fracture with delayed healing, S22.31XK — Fracture of one rib, right side, subsequent encounter for fracture with nonunion, S22.31XS — Fracture of one rib, right side, sequela
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Fracture of torso, initial encounter).
S22.20XB — Unspecified fracture of sternum, initial encounter for open fracture, S22.21XA — Fracture of manubrium, initial encounter for closed fracture, S22.21XB — Fracture of manubrium, initial encounter for open fracture, S22.22XA — Fracture of body of sternum, initial encounter for closed fracture, S22.22XB — Fracture of body of sternum, initial encounter for open fracture, S22.23XA — Sternal manubrial dissociation, initial encounter for closed fracture, S22.23XB — Sternal manubrial dissociation, initial encounter for open fracture, S22.24XA — Fracture of xiphoid process, initial encounter for closed fracture, S22.24XB — Fracture of xiphoid process, initial encounter for open fracture, S22.31XA — Fracture of one rib, right side, initial encounter for closed fracture, S22.32XA — Fracture of one rib, left side, initial encounter for closed fracture, S22.32XB — Fracture of one rib, left side, initial encounter for open fracture, S22.39XA — Fracture of one rib, unspecified side, initial encounter for closed fracture, S22.39XB — Fracture of one rib, unspecified side, initial encounter for open fracture, S22.41XA — Multiple fractures of ribs, right side, initial encounter for closed fracture, S22.41XB — Multiple fractures of ribs, right side, initial encounter for open fracture, S22.42XA — Multiple fractures of ribs, left side, initial encounter for closed fracture, S22.42XB — Multiple fractures of ribs, left side, initial encounter for open fracture, S22.43XA — Multiple fractures of ribs, bilateral, initial encounter for closed fracture, S22.43XB — Multiple fractures of ribs, bilateral, initial encounter for open fracture, +194 more
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Partial Thromboplastin Time (PTT) Test, Prothrombin Time Test and INR (PT/INR)
Contextual Map
Every relationship of S22.31XB 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.
Run S22.31XB with these 4 related codes in Claim Check
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S20-S29 — Injuries to the thorax[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes
- M48.5 — Collapsed vertebra, not elsewhere classified[Excludes1](via S22.-): “traumatic fracture of vertebra (S12.-, S22.-, S32.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M84.3 — Stress fracture[Excludes1](via S22.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M84.4 — Pathological fracture, not elsewhere classified[Excludes1](via S22.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code Also instructions
- S21 — Open wound of thorax[Code Also](via S22.3.-): “rib fracture (S22.3-, S22.4-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- INJ003 — Fracture of torso, initial encounter[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- MCC — Major Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (MCC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 183 — MAJOR CHEST TRAUMA WITH MCC[MS-DRG]: “MAJOR CHEST TRAUMA WITH MCC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 184 — MAJOR CHEST TRAUMA WITH CC[MS-DRG]: “MAJOR CHEST TRAUMA WITH CC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 185 — MAJOR CHEST TRAUMA WITHOUT CC/MCC[MS-DRG]: “MAJOR CHEST TRAUMA WITHOUT CC/MCC (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC[MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC[MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC[MS-DRG]: “OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 04 — Diseases and Disorders of the Respiratory System[MDC crossing]: “Diseases and Disorders of the Respiratory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 3,998 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
- MDC 24 — Multiple Significant Trauma[MDC crossing]: “Multiple Significant Trauma — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 22,957 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Nearest codes (40)
- S22 — Fracture of rib(s), sternum and thoracic spine[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S22.22XG — Fracture of body of sternum, subsequent encounter for fracture with delayed healing[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S22.22XK — Fracture of body of sternum, subsequent encounter for fracture with nonunion[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S22.22XS — Fracture of body of sternum, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S22.23 — Sternal manubrial dissociation[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S22.23XA — Sternal manubrial dissociation, initial encounter for closed fracture[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S22.23XB — Sternal manubrial dissociation, initial encounter for open fracture[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- S22.23XD — Sternal manubrial dissociation, subsequent encounter for fracture with routine healing[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history (3)
- FY2027 — Code First note will be added[Change history]— CMS release files (code change ledger) · icd10cm-fy2027
- and 2 more
Common coding questions
Does S22.31XB require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S22.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- Upcoming · effective FY2027 — October 1, 2026Code First note will be added, if applicable, spinal cord injury (S24.0-, S24.1-)FY2027 changes
- Upcoming · effective FY2027 — October 1, 2026Code Also note will be removedspinal cord injury (S24.0-, S24.1-)FY2027 changes
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionFracture of one rib, right side, initial encounter for open fracture
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S22.31XB in its code family, with their registry titles.
- S22.24XK — Fracture of xiphoid process, subsequent encounter for fracture with nonunion
- S22.24XS — Fracture of xiphoid process, sequela
- S22.3 — Fracture of one rib
- S22.31 — Fracture of one rib, right side
- S22.31XA — Fracture of one rib, right side, initial encounter for closed fracture
- S22.31XD — Fracture of one rib, right side, subsequent encounter for fracture with routine healing
- S22.31XG — Fracture of one rib, right side, subsequent encounter for fracture with delayed healing
- S22.31XK — Fracture of one rib, right side, subsequent encounter for fracture with nonunion
- S22.31XS — Fracture of one rib, right side, sequela
- S22.32 — Fracture of one rib, left side