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S22.061G ICD-10-CM Code: Stable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with delayed healing

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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)

S22.061G

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Stable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with delayed healing

Stable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with delayed healing

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
S22.06Fracture of T7-T8 vertebra
S22.061Stable burst fracture of T7-T8 vertebra
S22.061GStable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with delayed healing

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S22.061G in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S22.061G in this effective period.

Related Child Codes

Official
S22.061AStable burst fracture of T7-T8 vertebra, initial encounter for closed fracture
S22.061BStable burst fracture of T7-T8 vertebra, initial encounter for open fracture
S22.061DStable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with routine healing
S22.061KStable burst fracture of T7-T8 vertebra, subsequent encounter for fracture with nonunion
S22.061SStable burst fracture of T7-T8 vertebra, sequela

Includes

Official

ICD-10-CM does not list Includes notes for S22.061G in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S22.061G in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S22.061G in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S22.061G in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S22.061G 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.

Is S22.061G an HCC code?

No. S22.061G is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

S22.061G is the ICD-10-CM diagnosis code for stable burst fracture of t7-t8 vertebra, subsequent encounter for fracture with delayed healing. S22.061G 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).

S22.061G is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

S22.061G is a billable ICD-10-CM code that can be reported on claims but does not currently contribute to a Medicare Advantage member's RAF score under any CMS risk adjustment model (V28, V24, ESRD, or RxHCC). Coders reviewing S22.061G should check whether additional documentation would support a more specific child code in the same hierarchy that does map to a payment HCC, capturing the correct specificity is the highest-impact RAF improvement available within accurate coding.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S22.061G 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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