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S22.041 ICD-10-CM Code: Stable burst fracture of fourth thoracic vertebra

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the thorax (S20-S29)

S22.041

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Stable burst fracture of fourth thoracic vertebra

Stable burst fracture of fourth thoracic vertebra

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S22.0Fracture of thoracic vertebra
S22.04Fracture of fourth thoracic vertebra
S22.041Stable burst fracture of fourth thoracic vertebra

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S22.041 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S22.041 in this effective period.

Related Child Codes

Official
S22.041AStable burst fracture of fourth thoracic vertebra, initial encounter for closed fracture
S22.041BStable burst fracture of fourth thoracic vertebra, initial encounter for open fracture
S22.041DStable burst fracture of fourth thoracic vertebra, subsequent encounter for fracture with routine healing
S22.041GStable burst fracture of fourth thoracic vertebra, subsequent encounter for fracture with delayed healing
S22.041KStable burst fracture of fourth thoracic vertebra, subsequent encounter for fracture with nonunion

Includes

Official

ICD-10-CM does not list Includes notes for S22.041 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S22.041 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S22.041 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S22.041 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S22.041 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S22.041 is the ICD-10-CM diagnosis code for stable burst fracture of fourth thoracic vertebra. S22.041 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the thorax (s20-s29).

Header codes like S22.041 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S22.041's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S22.041 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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