ICD-10-CM › S00-T88 › S20-S29 › S22.2 Fracture of sternum › S22.23

S22.23

Sternal manubrial dissociation

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 6 more specific codes instead:

  • 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
  • S22.23XK Sternal manubrial dissociation, subsequent encounter for fracture with nonunion
  • S22.23XS Sternal manubrial dissociation, sequela

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2014 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2014 Added to the draft code set draft Sternal manubrial dissociation

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from S22 Fracture of rib(s), sternum and thoracic spine

Seventh character required

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

Excludes1 - never coded here

  • transection of thorax (S28.1)

Excludes2 - not included here

  • fracture of clavicle (S42.0-)
  • fracture of scapula (S42.1-)

Code first

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

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)

Includes

  • fracture of thoracic neural arch
  • fracture of thoracic spinous process
  • fracture of thoracic transverse process
  • fracture of thoracic vertebra
  • fracture of thoracic vertebral arch

Note

  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed

Inherited from the S20-S29 section Injuries to the thorax (S20-S29)

Excludes2 - not included here

  • burns and corrosions (T20-T32)
  • effects of foreign body in bronchus (T17.5)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in lung (T17.8)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • injuries of axilla
  • injuries of clavicle
  • injuries of scapular region
  • injuries of shoulder
  • insect bite or sting, venomous (T63.4)

Includes

  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
S22.20 Unspecified fracture of sternum Not billable
S22.21 Fracture of manubrium Not billable
S22.22 Fracture of body of sternum Not billable
S22.24 Fracture of xiphoid process Not billable