icd 10 code for pain from rib fracture

S22.41XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Multiple fractures of ribs, right side, init for clos fx. The 2019 edition of ICD-10-CM S22.41XA became effective on October 1, 2018.

Full Answer

What causes a rib fracture?

A MAN whose mutilated body was found dumped in a shallow grave had suffered a broken back and 15 fractured ribs during a fatal assault ... Mr Makepeace asked her to give her findings on the likely cause of death. Dr Mulcahy concluded: "There is no ...

What are the symptoms of a rib fracture?

• Pain when breathing
• Pain when laughing, sneezing, or coughing
• Tenderness
• Swelling
• Stinging
• Bruising
• Shortness of breath

What are possible complications of a rib fracture?

These risk factors include:

• Advanced age
• Cancer that has spread to a rib
• Involvement in contact sports
• Occupational activities that increase your risk if rib fracture (slips, falls, blunt trauma)
• Osteoporosis (thinning and weakening of the bones)

What can cause spontaneous rib fracture?

Through repetitive stress and microtrauma, athletes can develop rib fractures with chronic use. Spontaneous rib fractures can also occur due to severe cough and are more likely to occur in those with osteoporosis or underlying lung disease.[3]

Turn to the Tabular to See Crucial Note and Complete Codes

Important note: If you turn to category S22.- in your book or online coding resource, you’ll see a can’t-miss note for accurate open/closed fracture coding: “A fracture not indicated as open or closed should be coded to closed.”

What About Flail Chest?

Remember the index said that if the rib fractures were with flail chest, you should check “Flail, chest.” That index entry shows you should use S22.5- for flail chest or P13.8 for newborn (birth injury).

2 Bonus Tips: Treatment and Official Guidelines

Treatment: Don’t confuse open/closed fracture diagnoses with open/closed fracture treatment. Open treatment means the surgeon used an open incision to get to the fractured rib. Closed treatment may involve manipulating the fracture from outside the body to ensure realignment or taping or strapping.

Is a physical therapist considered active care for fracture coding?

Both the treating physician and the consulting physician have provided active care, and both visits are initial encounters. Neither prescribing medicine, nor referral to a physical therapist, is considered active care for fracture coding.

Is fracture coding a challenge?

Fracture coding can be a challenge for both physicians and coders, but its effect on hierarchical condition code (HCC) funding in Medicare Advantage, as well as health plan Star ratings, leaves little room for speculation. Knowing how ICD-10 delineates initial and subsequent visits is key.

What is the ICD-10 code for rib fractures?

S22.41 is a non-billable ICD-10 code for Multiple fractures of ribs, right side. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.

Do you include decimal points in ICD-10?

DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. Section S20-S29 — Injuries to the thorax.