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ICD-10-CM 2027 diagnosis code

S22.032DUnstable burst fracture of third thoracic vertebra, subsequent encounter for fracture with routine healing

✓ Billable / specificPOA exemptRequires 7th character

S22.032D is a valid, billable ICD-10-CM code for unstable burst fracture of third thoracic vertebra, subsequent encounter for fracture with routine healing. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Unstbl burst fx third thor vert, subs for fx w routn heal

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S22.032D

S22.032D is the ICD-10-CM diagnosis code for unstable burst fracture of third thoracic vertebra, subsequent encounter for fracture with routine healing. It belongs to category S22 (fracture of rib(s), sternum and thoracic spine), block S20-S29 (injuries to the thorax) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter for fracture with routine healing: use it for encounters after active treatment, while the patient is healing or recovering.

Code first: , if applicable, spinal cord injury (S24.0-, S24.1-).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC, relative weight 1.8088), DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC, relative weight 1.1238) and DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC, relative weight 0.8258), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V54.17 (aftercare for healing traumatic fracture of vertebrae).

7th character

Dsubsequent encounter for fracture with routine healing

CC/MCC status for this injury by encounter: CC for A, K; MCC for B; Neither CC nor MCC for D, G, S.

Other encounter types for S22.032:

Notes that apply from higher levels

Instructions written at a parent level also apply to S22.032D.

› From S22 Fracture of rib(s), sternum and thoracic spine
Note
  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed
Includes
  • fracture of thoracic neural arch
  • fracture of thoracic spinous process
  • fracture of thoracic transverse process
  • fracture of thoracic vertebra
  • fracture of thoracic vertebral arch
Excludes1
  • transection of thorax (S28.1)
Excludes2
Code first
Code also
  • , if applicable, any associated condition such as:
  • injury of intrathoracic organ (S27.-)
  • traumatic hemopneumothorax (S27.2)
  • traumatic hemothorax (S27.1-)
  • traumatic pneumothorax (S27.0)

Broader instructions also apply from S20-S29 Injuries to the thorax and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • V54.17Aftercare for healing traumatic fracture of vertebraeapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S22.032D

Is S22.032D billable?

Yes. S22.032D is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of S22.032D mean?

It is the 7th character for subsequent encounter for fracture with routine healing. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can S22.032D be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S22.032D as a principal diagnosis.

Is S22.032D a CC or MCC?

No. S22.032D is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does S22.032D group to?

S22.032D is used in the MS-DRG v44.0 logic for MS-DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC), MS-DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC) and MS-DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for S22.032D?

The CMS General Equivalence Mappings map S22.032D to ICD-9-CM V54.17.