S22 ICD-10-CA category: Fracture of rib(s), sternum and thoracic spine
S22 isn’t a code on its own. Choose one of the 24 codes beneath it, the one the documentation supports.
Official description
S22Fracture of rib(s), sternum and thoracic spine
ICD-10-CA · Canada
Codes in S22
S22 isn’t a code on its own. Open the group that matches what the note documents.
S22.0Fracture of thoracic vertebra (6 codes)S22.1Multiple fractures of thoracic spine (2 codes)S22.2Fracture of sternum (2 codes)S22.3Fracture of rib (2 codes)S22.4Multiple fractures of ribs (6 codes)S22.5Flail chest (2 codes)S22.8Fracture of other parts of bony thorax (2 codes)S22.9Fracture of bony thorax, part unspecified (2 codes)Notes for S22
As CIHI prints them, with any note S22 takes from the headings above it.
Includes
- Thoracic:• neural arch• spinous process• transverse process• vertebra• vertebral arch
- Injuries of:• breast• chest (wall)• interscapular areaFrom S20-S29 Injuries to the thorax
Use additional code
Add a code for this detail when the note documents it.
- Use additional codes to identify any spinal injury (S24.1-)
Excludes
Conditions classified elsewhere.
- Fracture of:• clavicle (S42.0)• scapula (S42.1)
- Burns and corrosions (T20-T32)effects of foreign body in:• bronchus (T17.5)• lung (T17.8)• oesophagus (T18.1)• trachea (T17.4)fracture of spine NOS (T08)frostbite (T33-T35)injuries of:• axilla (S40-S49)• clavicle (S40-S49)• scapular region (S40-S49)• shoulder (S40-S49)• trunk NOS (T09.-)insect bite or sting, venomous (T63.4)From S20-S29 Injuries to the thorax
- Birth trauma (P10-P15)obstetric trauma (O70-O71)From Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T98)
Note
- 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 multiple or unspecified body regions as well as poisoning and certain other consequences of external causes.Where multiple sites of injury are specified in the titles, the word "with" indicates involvement of both sites, and the word "and" indicates involvement of either or both sites.The principle of multiple coding of injuries should be followed wherever possible.Combination categories for multiple injuries is provided for use when there are insufficient detail as to the nature of the individual conditions, or for primary tabulation purposes when it is more convenient to record single code; otherwise, the component injuries should be coded separately.Reference should also be made to the coding rules and guidelines.The blocks of the S-section as well as (T00-T14 and T90-T98) contain injuries at the three-character level classified by type as follows:Superficial injury including:abrasionblister (nonthermal)contusion, including bruise and haematomainjury from superficial foreign body (splinter) without major open woundinsect bite (nonvenomous)Open wound including:animal bitecutlacerationpuncture wound:• NOS• with (penetrating) foreign bodyFracture including:Fracture:closed: comminuted, depressed, elevated, fissured, greenstick, impacted, linear, simple, slipped epiphysis, spiral — with or without delayed healingdislocateddisplacedFracture:open: compound, infected, missile, puncture, with foreign body — with or without delayed healingExcludes:malunion of fracture (M84.0)nonunion of fracture [pseudoarthrosis] (M84.1)pathological fracture (M84.4):• with osteoporosis (M80.-)stress fracture (M84.3)Dislocation, sprain and strain including:avulsion, laceration, sprain, strain, traumatic: haemarthosis, rupture, subluxation, tear of cartilage, joint (capsule), ligamentInjury to nerves and spinal cord including:complete or incomplete lesion of spinal cordlesion incontinuity of nerves and spinal cordtraumatic:• division of nerve• haematomyelia• paralysis (transient)• paraplegia• quadriplegiaInjury to blood vessels includingavulsion, cut, laceration, traumatic: aneurysm or fistula (arteriovenous), arterial haematoma, rupture of blood vesselsInjury of muscle, fascia and tendon including:avulsion, cut, laceration, strain, traumatic rupture of muscle, fascia and tendonCrushing InjuryTraumatic amputationInjury to internal organs including:blast injuries, bruise, concussion injuries, crushing, laceration, traumatic: haematoma, puncture, rupture, tear of internal organsOther and unspecified injuriesFrom Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T98)
Where S22 sits
- 1ChapterChapter 19: Injury, poisoning and certain other consequences of external causes (S00-T98)
- 2Block S20-S29Injuries to the thorax
- 3Category S22Fracture of rib(s), sternum and thoracic spine
Source and release
- Data release
- ICD-10-CA · FY 2026–2027
- Effective date
- Apr 1, 2026
- Publisher
- CIHI
This page is built from the ICD-10-CA catalog that Vero Codes reads when it suggests codes: Canadian Institute for Health Information’s FY 2026–2027 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
Is S22 a valid ICD-10-CA code?
No. S22 (Fracture of rib(s), sternum and thoracic spine) is a category heading in CIHI’s ICD-10-CA FY 2026–2027 release. It holds 24 codes; record the one the documentation supports.
Where is S22 in ICD-10-CA?
S22 sits under S20-S29 Injuries to the thorax, within Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T98).
What coding notes apply to S22?
ICD-10-CA lists Includes, Use additional code, Excludes, Note notes for S22, including those from the headings it sits under. They are listed on this page with where each one comes from.
Which ICD-10-CA release does this page use?
It uses CIHI’s FY 2026–2027 release, in effect from Apr 1, 2026 to Mar 31, 2027. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside S22
View S20-S29S20Superficial injury of thoraxS21Open wound of thoraxS23Dislocation, sprain and strain of joints and ligaments of thoraxS24Injury of nerves and spinal cord at thorax levelS25Injury of blood vessels of thoraxS26Injury of heartS27Injury of other and unspecified intrathoracic organsS28Crushing injury of thorax and traumatic amputation of part of thoraxS29Other and unspecified injuries of thorax