Rib, fracture, injury/trauma: Difference between revisions

Latest revision as of 11:57, 2019 October 25

ICD10 Diagnosis
Dx:	Rib, fracture, injury/trauma
ICD10 code:	S22.3
Pre-ICD10 counterpart:	Rib or sternum fracture
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

Additional Info

Code Flail chest, injury/trauma separately if present
Excludes the specific code for Rib fracture(s) due to CPR

Fractures

For an comprehensive overview, and additional information on coding fractures in ICD10, see Coding fractures in ICD10.

Fractures if and only if due to trauma or injury should be coded together with its Category:Mechanism.

Alternate ICD10s to consider coding instead or in addition

Traumatic fracture codes:
Ankle or foot or toes, fracture, injury/trauma Clavicle or scapula or humerus, fracture, injury/trauma Femur, fracture, injury/trauma Flail chest, injury/trauma Head bones NOS, fracture, injury/trauma Lower leg, fracture, injury/trauma Lower limb (leg) bones, level not specified/NOS, fracture, injury/trauma Pelvis, fracture, injury/trauma Skull, fracture, injury/trauma Sternum, fracture, injury/trauma Thorax, bones NOS, fracture, injury/trauma Tooth, fracture (broken tooth), injury/trauma Ulna or radius (forearm), fracture, injury/trauma Upper limb (arm) bones, level not specified/NOS, fracture, injury/trauma Vertebra or spinal cord, level not specified/NOS, fracture, injury/trauma Vertebra, cervical (C-spine), fracture, injury/trauma Vertebra, lumbar (L-spine), fracture, injury/trauma Vertebra, thoracic (T-spine), fracture, injury/trauma Wrist or hand or finger bones, fracture, injury/trauma

Thoracic trauma codes:
Aorta, thoracic, injury/trauma Esophagus, wound/injury/trauma Flail chest, injury/trauma Heart, wound/injury/trauma Hemothorax, traumatic Intrathoracic organ/structure NOS, wound/injury/laceration Lung NOS, wound/injury/trauma Nerve root, thoracic spinal cord, injury/trauma Pneumothorax, traumatic Spinal cord, thoracic (T-spine), injury/trauma Superior vena cava (SVC), injury/trauma Thorax NOS, wound/injury/trauma Thorax, blood vessels NOS, injury/trauma Thorax, bones NOS, fracture, injury/trauma Thorax, joints or ligaments, dislocation/sprain/strain, injury/trauma Thorax, nerves NOS, injury/trauma Thorax, open wound, injury/trauma Thorax, superficial injury/trauma (minor, contusion) Trachea or bronchus (airways) NOS, wound/injury/trauma Vertebra or spinal cord, level not specified/NOS, fracture, injury/trauma

Abdominal trauma codes:
Abdomen or lower back or pelvis NOS, wound/injury/trauma Abdomen or lower back or pelvis, nerves NOS, injury/trauma Abdomen or lower back or pelvis, soft tissues, open wound, injury/trauma Abdomen or lower back or pelvis, superficial injury/trauma (minor, contusion) Abdomen or pelvic, blood vessels NOS, injury/trauma Aorta, abdominal, injury/trauma Bladder, traumatic laceration/rupture Bladder, wound/injury/trauma Colon (large intestine), traumatic laceration/rupture Colon (large intestine), wound/injury trauma Gallbladder or bile ducts, traumatic laceration/rupture Gallbladder or bile ducts, wound/injury/trauma Gastrointestinal (GI) tract, foreign body in Genitorurinary tract, foreign body in Inferior vena cava (IVC), injury/trauma Intra-abdominal organ NOS, wound/injury/trauma NOS Kidney, wound/injury/trauma Liver, wound/injury/trauma Lumbar spine or pelvis, joints or ligaments, dislocation/sprain/strain, injury/trauma Nerve root, lumbar spinal cord, injury/trauma Ovary or fallopian tube, wound/injury/trauma Pancreas, wound/injury/trauma Pelvis, fracture, injury/trauma Rectum, traumatic laceration/rupture Rectum, wound/injury/trauma NOS Small intestine, traumatic laceration/rupture Small intestine, wound/injury/trauma Spinal cord, lumbar (L-spine), injury/trauma Spleen, wound/injury/trauma Stomach, traumatic laceration/rupture Stomach, wound/injury/trauma Ureter, wound/injury/trauma Urethra, wound/injury/trauma Urinary, pelvic or genitourinary organs NOS, wound/injury/trauma Uterus, wound/injury/trauma Vertebra or spinal cord, level not specified/NOS, fracture, injury/trauma

Candidate Combined ICD10 codes

Traumas and their Mechanisms

In ICD10, traumas need to be combined with separate mechanism codes to fully explain the situation.

Here are lists of the codes for "mechanical" injuries to various body parts:
- some codes are always traumatic and always need a mechanism:

Trauma codes:
Abdomen or lower back or pelvis NOS, wound/injury/trauma Abdomen or lower back or pelvis, nerves NOS, injury/trauma Abdomen or lower back or pelvis, soft tissues, open wound, injury/trauma Abdomen or lower back or pelvis, superficial injury/trauma (minor, contusion) Abdomen or pelvic, blood vessels NOS, injury/trauma Air embolism, traumatic Ankle or foot or toes, amputation, injury/trauma Ankle or foot or toes, blood vessels, wound/injury/trauma Ankle or foot or toes, fracture, injury/trauma Ankle or foot or toes, joints or ligaments, dislocation/sprain/strain, injury/trauma Ankle or foot or toes, muscles/tendons, wound/injury/trauma Ankle or foot or toes, nerves, wound/injury/trauma Ankle or foot or toes, open wound, injury/trauma Ankle or foot or toes, superficial injury/trauma (minor, contusion) Ankle or foot or toes, wound/injury/trauma, NOS Aorta, abdominal, injury/trauma Aorta, thoracic, injury/trauma Bladder, traumatic laceration/rupture Bladder, wound/injury/trauma Brain injury, diffuse (TBI), injury/trauma Brain injury, focal (TBI), injury/trauma Brain, cerebral edema, injury/trauma Brain, concussion, injury/trauma Brain/intracranial injury NOS, injury/trauma Carotid artery, injury/trauma Clavicle or scapula or humerus, fracture, injury/trauma Colon (large intestine), traumatic laceration/rupture Colon (large intestine), wound/injury trauma Cranial nerve, wound/injury/trauma Ear, foreign body in Eardrum (tympanic membrane), rupture, injury/trauma Elbow or forearm, superficial injury/trauma (minor, contusion) Elbow or forearm, wound/injury/trauma, NOS Elbow, joints or ligaments, dislocation/sprain/strain, injury/trauma Elbow, open wound, injury/trauma Epidural hemorrhage, injury/trauma Esophagus, wound/injury/trauma Eye (globe), wound/injury/trauma Eye, foreign body in Fat embolism, traumatic Femur, fracture, injury/trauma Flail chest, injury/trauma Forearm, amputation, injury/trauma Forearm, blood vessels, wound/injury/trauma Forearm, muscles/tendons, wound/injury/trauma Forearm, nerves, wound/injury/trauma Forearm, open wound, injury/trauma Gallbladder or bile ducts, traumatic laceration/rupture Gallbladder or bile ducts, wound/injury/trauma Gastrointestinal (GI) tract, foreign body in Genitorurinary tract, foreign body in Head NOS, wound/injury/trauma Head bones NOS, fracture, injury/trauma Head, joints or ligaments, dislocation/sprain/strain, injury/trauma Head, open wound, injury/trauma Head, superficial injury/trauma (minor, contusion) Heart, wound/injury/trauma Hemothorax, traumatic Hip or thigh, amputation, injury/trauma Hip or thigh, blood vessels, wound/injury/trauma Hip or thigh, muscles/tendons, wound/injury/trauma Hip or thigh, nerves, wound/injury/trauma Hip or thigh, open wound, injury/trauma Hip or thigh, superficial injury/trauma (minor, contusion) Hip or thigh, wound/injury/trauma, NOS Hip, joints or ligaments, dislocation/sprain/strain, injury/trauma Inferior vena cava (IVC), injury/trauma Intra-abdominal organ NOS, wound/injury/trauma NOS Intracranial hemorrhage, injury/trauma Intrathoracic organ/structure NOS, wound/injury/laceration Kidney, wound/injury/trauma Knee or lower leg, blood vessels, wound/injury/trauma Knee or lower leg, muscles/tendons, wound/injury/trauma Knee or lower leg, open wound, injury/trauma Knee or lower leg, superficial injury/trauma (minor, contusion) Knee or lower leg, wound/injury/trauma, NOS Knee, joint or ligaments or cartilage, dislocation/sprain/strain/tear, injury/trauma Knee, nerves, wound/injury/trauma Liver, wound/injury/trauma Lower leg, amputation, injury/trauma Lower leg, fracture, injury/trauma Lower limb (leg) bones, level not specified/NOS, fracture, injury/trauma Lower limb (leg), level not specified/NOS, amputation, injury/trauma Lower limb (leg), level not specified/NOS, blood vessels, wound/injury/trauma Lower limb (leg), level not specified/NOS, joints or ligaments, dislocation/sprain/strain, injury/trauma Lower limb (leg), level not specified/NOS, muscles/tendons, wound/injury/trauma Lower limb (leg), level not specified/NOS, nerves, wound/injury/trauma Lower limb (leg), level not specified/NOS, open wound, injury trauma Lower limb (leg), level not specified/NOS, superficial injury/trauma (minor, contusion) Lower limb (leg), level not specified/NOS, wound/injury/trauma, NOS Lumbar spine or pelvis, joints or ligaments, dislocation/sprain/strain, injury/trauma Lung NOS, wound/injury/trauma Multiple trauma Muscle, strain Neck structures NOS, wound/injury/trauma Neck, blood vessels NOS, injury/trauma Neck, joints or ligaments, dislocation/sprain/strain, injury/trauma Neck, nerves NOS, injury/trauma Neck, open wound, injury/trauma Neck, superficial injury/trauma (minor, contusion) ... further results

Other codes may or may not be of a traumatic nature; these also qualify to be coded with trauma mechanisms listed below:

Potential trauma codes:
Lightning injury Respiratory tract, foreign body in

Here is a list of the external mechanism or agent that caused the trauma:

Mechanism codes:
Mechanism of injury: animal rider or occupant of animal-drawn vehicle Mechanism of injury: assault with bodily force Mechanism of injury: bus occupant Mechanism of injury: crushed or jammed or pinched in or between objects Mechanism of injury: driver or occupant of ATV or off-road vehicle or snowmobile Mechanism of injury: driver or occupant of watercraft Mechanism of injury: explosion Mechanism of injury: fall or jump (not necessarily from a height) Mechanism of injury: firearm (GSW) Mechanism of injury: hanging or strangulation (accidental or intentional) Mechanism of injury: hypodermic needle Mechanism of injury: knife or other sharp object, stabbing Mechanism of injury: machinery Mechanism of injury: motorcyclist Mechanism of injury: occupant or driver of car or truck Mechanism of injury: other NOS Mechanism of injury: pedal cyclist vs powered vehicle Mechanism of injury: pedal cyclist, not with powered vehicle Mechanism of injury: pedestrian vs powered vehicle Mechanism of injury: pilot or occupant of aircraft Mechanism of injury: struck by an inanimate moving object/blunt trauma Mechanism of injury: train occupant Mechanism of injury: transport or vehicle accident NOS

Regarding Multiple Trauma

When a person has multiple body areas traumatized, code Multiple trauma
When using Multiple trauma also code the individual things traumatized, e.g. leg, arm, head, etc.
Code Multiple trauma and all the individual things traumatized as Combined ICD10 codes
- And in this case, assuming that they all have the same mechanism of injury (e.g. Mechanism of injury: motorcyclist), then you'd also code that Mechanism code as the same Combined ICD10 codes.
If the multiple trauma is the primary admit diagnosis, then among this group of linked ICD10 codes, the Primary Admit Diagnosis would be either the Multiple trauma or the "worst" thing injured, e.g. Brain injury, diffuse (TBI), injury/trauma

Iatrogenic injuries

Some iatrogenic codes are self-explanatory for what occurred. For example Iatrogenic, air embolism, as complication of line/infusion/transfusion/injection. But for others, such as Iatrogenic, puncture or laceration, related to a procedure or surgery NOS it's not clear what happened, i.e. what was iatrogenically injured.
- In these latter cases, with just one exception, DO NOT also code a trauma code for what was iatrogenically injured. This is because iatrogenic injuries are technically not considered to be traumas.
  - that one exception is you should code Rib fracture(s) due to CPR in the context of CPR, cardiac resuscitation.
- Instead, combine the iatrogenic code with another ICD10 code indicating the body part involved.
  - e.g. for iatrogenic laceration of a pulmonary artery, combine: Iatrogenic, puncture or laceration, related to a procedure or surgery NOS with Disorder of pulmonary vessels, NOS. See list of NOS codes in ICD10.

Related CCI Codes

Data Integrity Checks (automatic list)

	App	Status
Query check ICD10 mechanism vs trauma	CCMDB.accdb	implemented

Related articles:
Rib or sternum fracture ‎ (← links) Hemoperitoneum ‎ (← links) Bone, stress fracture ‎ (← links) Flail chest, injury/trauma ‎ (← links) Thorax, bones NOS, fracture, injury/trauma ‎ (← links) Thorax, joints or ligaments, dislocation/sprain/strain, injury/trauma ‎ (← links) Spinal cord, thoracic (T-spine), injury/trauma ‎ (← links) Nerve root, thoracic spinal cord, injury/trauma ‎ (← links) Thorax, nerves NOS, injury/trauma ‎ (← links) Aorta, thoracic, injury/trauma ‎ (← links) Superior vena cava (SVC), injury/trauma ‎ (← links) Thorax, blood vessels NOS, injury/trauma ‎ (← links) Heart, wound/injury/trauma ‎ (← links) Pneumothorax, traumatic ‎ (← links) Hemothorax, traumatic ‎ (← links) Lung NOS, wound/injury/trauma ‎ (← links) Trachea or bronchus (airways) NOS, wound/injury/trauma ‎ (← links) Esophagus, wound/injury/trauma ‎ (← links) Intrathoracic organ/structure NOS, wound/injury/laceration ‎ (← links) Thorax NOS, wound/injury/trauma ‎ (← links) Abdomen or lower back or pelvis, superficial injury/trauma (minor, contusion) ‎ (← links) Abdomen or lower back or pelvis, soft tissues, open wound, injury/trauma ‎ (← links) Vertebra, lumbar (L-spine), fracture, injury/trauma ‎ (← links) Pelvis, fracture, injury/trauma ‎ (← links) Spinal cord, lumbar (L-spine), injury/trauma ‎ (← links) Nerve root, lumbar spinal cord, injury/trauma ‎ (← links) Abdomen or lower back or pelvis, nerves NOS, injury/trauma ‎ (← links) Aorta, abdominal, injury/trauma ‎ (← links) Inferior vena cava (IVC), injury/trauma ‎ (← links) Abdomen or pelvic, blood vessels NOS, injury/trauma ‎ (← links) Spleen, wound/injury/trauma ‎ (← links) Gallbladder or bile ducts, traumatic laceration/rupture ‎ (← links) Liver, wound/injury/trauma ‎ (← links) Gallbladder or bile ducts, wound/injury/trauma ‎ (← links) Pancreas, wound/injury/trauma ‎ (← links) Stomach, traumatic laceration/rupture ‎ (← links) Stomach, wound/injury/trauma ‎ (← links) Small intestine, traumatic laceration/rupture ‎ (← links) Small intestine, wound/injury/trauma ‎ (← links) Colon (large intestine), traumatic laceration/rupture ‎ (← links) Colon (large intestine), wound/injury trauma ‎ (← links) Intra-abdominal organ NOS, traumatic laceration/rupture ‎ (← links) Intra-abdominal organ NOS, wound/injury/trauma NOS ‎ (← links) Kidney, wound/injury/trauma ‎ (← links) Ureter, wound/injury/trauma ‎ (← links) Bladder, traumatic laceration/rupture ‎ (← links) Bladder, wound/injury/trauma ‎ (← links) Urethra, wound/injury/trauma ‎ (← links) Ovary or fallopian tube, wound/injury/trauma ‎ (← links) Uterus, wound/injury/trauma ‎ (← links)

Skin	Trauma Abdominal trauma Burn Chemical burn Fracture Head trauma Head trauma (old) Joint/ligament trauma Lower limb trauma Muscles/tendon trauma Neck trauma Potential trauma Thoracic trauma Traumatic Amputation Traumatic fracture Upper limb trauma Vascular trauma	Renal/urinary Chronic kidney disease Nephritic syndrome Renal failure Renal/Urinary neoplasm Urinary tract infection	Infectious disease Antibiotic resistance Bacteria COVID Double duty pathogen Encephalitis Fungus Iatrogenic infection Infection requiring pathogen Infection with implied pathogen Influenza Intra-abdominal infection Lower respiratory tract infection Meningitis Non-specific pathogens Osteomyelitis Pathogens Pneumonia Potential infection Tuberculosis Upper respiratory tract infection Virus
ENT	Testing Imaging	Cardiovascular Aneurysm Aortic Aneurysm Arrhythmia Arterial thromboembolism Atherosclerosis Cardiac septum problem Cerebral Hemorrhage/Stroke Heart valve disease Hemorrhage Hypertension Hypotension Ischemia Ischemic gut Ischemic heart disease Myocardial Infarction Pulmonary embolism Pulmonary hypertension Vasculitis Venous thromboembolism	Hereditary/congenital
Eye	Mechanism Transportation mechanism	Neoplastic Benign neoplasm Endocrine neoplasm Female genital neoplasm Gastrointestinal neoplasm Heme/immunology neoplasm Leukemia Lymphoma Male genital neoplasm Metastasis Musculoskeletal/soft tissue neoplasm Neuro neoplasm Primary malignancy Renal/Urinary neoplasm Respiratory neoplasm Skin neoplasm	Heme/immunology Allergy Anemia Heme/immunology neoplasm Hemophilia Leukemia Thrombocytopenia
Misc Adverse effect Alcohol related Allergy Anesthetic related Antidepressant related Awaiting/delayed transfer COVID Cannabis related Cocaine related Decubitus ulcer Diagnosis implying death Exposure Fistula Hallucinogen related Has one Healthcare contact Hemorrhage Iatrogenic Metabolic/nutrition Non-traumatic fracture Observation Organ removal Ostomy Overdose Paralysis Past medical history Poisoning Psychoactive substance NOS related Radiation related Retired Code Rheumatic disease Sedative related Shock Solvent related Spine Stimulant related Transplant	Reproductive Abortion Breast disease Female genital neoplasm Male genital neoplasm Peripartum	Gastrointestinal Cirrhosis GI ulcer Gastroenteritis Gastrointestinal neoplasm Hepatitis Hernia Inflammatory Bowel Disease Intra-abdominal infection Ischemic gut Liver disease Liver failure Pancreas disease Pancreatitis Peptic ulcer	Musculoskeletal/soft tissue Hernia Joint/ligament trauma Muscle problem Muscles/tendon trauma Musculoskeletal/soft tissue neoplasm Osteomyelitis
Psych Addiction Antidepressant related Delirium Dementia Hallucinogen related Opioid related Psychoactive substance NOS related Sedative related Solvent related Stimulant related Withdrawal	Respiratory Asthma Influenza Inhalation Lower respiratory tract infection Pleural abnormalities Pneumoconiosis Pneumonia Pneumothorax Pulmonary embolism Respiratory neoplasm Sleep disorder Tracheostomy Upper respiratory tract infection	Poisoning Acute intoxication Addiction Opioid related Overdose Poisoning by non-pharmaceuticals Stimulant related Withdrawal
Neuro Cerebral Hemorrhage/Stroke Encephalitis Encephalopathy Meningitis Neuro neoplasm Paralysis	Symptom/Sign Pain	Endocrine disorder Adrenal Insufficiency Diabetes Endocrine neoplasm Metabolic/nutrition

Show all ICD10 Subcategories

ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results

@@ Line 14: / Line 14: @@
 == Additional Info ==
 *Code '''[[Flail chest, injury/trauma]]''' separately if present
-*If the rib fx is due to CPR, then the "mechanism" code to use is:  [[Mechanism of injury: other NOS]]
+*Excludes the specific code for '''[[Rib fracture(s) due to CPR]]'''
-{{DA| ** Do we also need to combine it with [[Iatrogenic, complication of medical or surgical care NOS]]? --[[User:Jvelasco|Jvelasco]] 08:21, 2019 August 23 (CDT)
 {{ICD10 Fracture}}

Rib, fracture, injury/trauma: Difference between revisions

Latest revision as of 11:57, 2019 October 25

Contents

Additional Info

Fractures

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Traumas and their Mechanisms

Regarding Multiple Trauma

Iatrogenic injuries

Related CCI Codes

Data Integrity Checks (automatic list)

Related Articles

Navigation menu

Rib, fracture, injury/trauma: Difference between revisions

Latest revision as of 11:57, 2019 October 25

Additional Info

Fractures

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Traumas and their Mechanisms

Regarding Multiple Trauma

Iatrogenic injuries

Related CCI Codes

Data Integrity Checks (automatic list)

Related Articles

Navigation menu

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