Cracking the Code
Intrathoracic Injury with Rib Fracture
When reviewing medical records where the physician has documented that a patient has both an intrathoracic injury and a rib fracture, it is important to remember that the intrathoracic injury is sequenced first followed by the rib fracture diagnosis. Per instructional note for diagnosis codes that fall under the range of S22, it is advised to code first any associated injury of intrathoracic organ (S27.-) or spinal cord injury (S24.0-, S24.1-).
S22.42XA, multiple fractures of ribs, left side, initial encounter for closed fracture
W11.XXXA, fall on and from ladder, initial encounter
Y92.007, garden or yard of unspecified non-institutional (private) residence as the place of occurrence of the external cause