Coding and coverage · ICD-10-CM
S22.41 Multiple fractures of ribs, right side
This code needs a 7th character (use X as a placeholder for missing characters).
Codes under this one
- 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
- S22.41XG Multiple fractures of ribs, right side, subsequent encounter for fracture with delayed healing
- S22.41XK Multiple fractures of ribs, right side, subsequent encounter for fracture with nonunion
- S22.41XS Multiple fractures of ribs, right side, sequela
Instructional notes
Chapter 19
Excludes2Not included here: the patient may have both; report both when both are present.
Use additional codeAdd a second code for the full picture.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
- Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
Section S20-S29
Excludes2Not included here: the patient may have both; report both when both are present.
- 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
S22
Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
- transection of thorax (S28.1)
Excludes2Not included here: the patient may have both; report both when both are present.
Code firstSequence the underlying condition first.
Code also
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
Notes
- 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
7th charactersThe 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
- 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
Chapter 19: Injury, poisoning and certain other consequences of external causes · S20-S29 Injuries to the thorax (S20-S29)
Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.
Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.