S22.41XG — Multiple fractures of ribs, right side, subsequent encounter for fracture with delayed healing

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 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)
MS-DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)
MS-DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/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

Multiple fractures of ribs, right side, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S22.41G).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S22.41XG 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).

flail chest (S22.5-) Compare S22.41XG vs S22.5 →
transection of thorax (S28.1) Compare S22.41XG vs S28.1 →

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-) Compare S22.41XG vs S42.0 →
fracture of scapula (S42.1-) Compare S22.41XG vs S42.1 →
burns and corrosions (T20-T32) Compare S22.41XG vs T20 →
effects of foreign body in bronchus (T17.5) Compare S22.41XG vs T17.5 →
effects of foreign body in esophagus (T18.1) Compare S22.41XG vs T18.1 →
effects of foreign body in lung (T17.8) Compare S22.41XG vs T17.8 →
effects of foreign body in trachea (T17.4) Compare S22.41XG vs T17.4 →
frostbite (T33-T34) Compare S22.41XG vs T33 →
injuries of axilla
injuries of clavicle
injuries of scapular region
injuries of shoulder
insect bite or sting, venomous (T63.4) Compare S22.41XG vs T63.4 →

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 S22.41XG 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.-)”

Referenced by Code Also instructions

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

Clinical classification (CCSR)

INJ040 — Fracture of torso, subsequent encounter [CCSR]

Potential MS-DRG

DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)”
DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)”
DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)”

Nearest codes (40)

S22 — Fracture of rib(s), sternum and thoracic spine [Sibling]
S22.31XS — Fracture of one rib, right side, sequela [Sibling]
S22.32 — Fracture of one rib, left side [Sibling]
S22.32XA — Fracture of one rib, left side, initial encounter for closed fracture [Sibling]
S22.32XB — Fracture of one rib, left side, initial encounter for open fracture [Sibling]
S22.32XD — Fracture of one rib, left side, subsequent encounter for fracture with routine healing [Sibling]
S22.32XG — Fracture of one rib, left side, subsequent encounter for fracture with delayed healing [Sibling]
S22.32XK — Fracture of one rib, left side, subsequent encounter for fracture with nonunion [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):INJ040 — Fracture of torso, subsequent encounter (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 3 MS-DRGs: DRG 559 (MDC 08), DRG 560 (MDC 08), DRG 561 (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 S22.41XG 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 S22.4.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S22.41XG 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 S22.41XG in its code family, with their registry titles.

S22.4 — Multiple fractures of ribs
S22.41 — Multiple fractures of ribs, right side
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
S22.41XD — Multiple fractures of ribs, right side, subsequent encounter for fracture with routine healing
S22.41XK — Multiple fractures of ribs, right side, subsequent encounter for fracture with nonunion
S22.41XS — Multiple fractures of ribs, right side, sequela
S22.42 — Multiple fractures of ribs, left side
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

View all codes in the S22 family

S22.41XG ICD-10-CM Code: Multiple fractures of ribs, right side, subsequent encounter for fracture with delayed healing