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ICD-10/S22.32

S22.32 ICD-10-CM Code: Fracture of one rib, left side

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Fracture of one rib, left side is a non-billable ICD-10-CM category code (S22.32). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S22.32 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

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 S22.32 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]

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.-)”

Referenced by Code Also instructions

  • S21 — Open wound of thorax [Code Also](via S22.3.-): “rib fracture (S22.3-, S22.4-)”

Nearest codes (40)

  • S22 — Fracture of rib(s), sternum and thoracic spine [Sibling]
  • S22.23XB — Sternal manubrial dissociation, initial encounter for open fracture [Sibling]
  • S22.23XD — Sternal manubrial dissociation, subsequent encounter for fracture with routine healing [Sibling]
  • S22.23XG — Sternal manubrial dissociation, subsequent encounter for fracture with delayed healing [Sibling]
  • S22.23XK — Sternal manubrial dissociation, subsequent encounter for fracture with nonunion [Sibling]
  • S22.23XS — Sternal manubrial dissociation, sequela [Sibling]
  • S22.24 — Fracture of xiphoid process [Sibling]
  • S22.24XA — Fracture of xiphoid process, initial encounter for closed fracture [Sibling]
  • and 32 more

Change history (2)

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

Referenced by Other Codes

Official ICD-10-CM tabular notes on other codes that name S22.32 or its code family.

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

1 Code Also instructions: S21 (via S22.3.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S22.32 be billed directly?

No. S22.32 (Fracture of one rib, left side) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S22.32 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 S22.32 in its code family, with their registry titles.

  • S22.31XB — Fracture of one rib, right side, initial encounter for open 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
  • S22.32XA — Fracture of one rib, left side, initial encounter for closed fracture
  • S22.32XB — Fracture of one rib, left side, initial encounter for open fracture
  • S22.32XD — Fracture of one rib, left side, subsequent encounter for fracture with routine healing
  • S22.32XG — Fracture of one rib, left side, subsequent encounter for fracture with delayed healing
  • S22.32XK — Fracture of one rib, left side, subsequent encounter for fracture with nonunion

View all codes in the S22 family