Fracture of rib(s), sternum and thoracic spine

**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

**Excludes1:** - transection of thorax (S28.1)

**Excludes2:** - fracture of clavicle (S42.0-) - fracture of scapula (S42.1-)

**Code also:** - , if applicable, any associated condition such as: - injury of intrathoracic organ (S27.-) - spinal cord injury (S24.0-, S24.1-) - traumatic hemopneumothorax (S27.2) - traumatic hemothorax (S27.1-) - traumatic pneumothorax (S27.0)

**7th character note:** - The appropriate 7th character is to be added to each code from category S22

**7th character:** - 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