ICD-10-CM 2027 diagnosis code
S22.080SWedge compression fracture of T11-T12 vertebra, sequela
S22.080S is a valid, billable ICD-10-CM code for wedge compression fracture of t11-t12 vertebra, sequela. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
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 S22.080S
S22.080S is the ICD-10-CM diagnosis code for wedge compression fracture of T11-T12 vertebra, sequela. 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 "S" means sequela: use it for complications or conditions that arise as a direct result of the original condition.
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 551 (Medical Back Problems with MCC, relative weight 1.6358) and DRG 552 (Medical Back Problems without MCC, relative weight 0.9584), 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 905.1 (late effect of fracture of spine and trunk without mention of spinal cord lesion).
7th character
Ssequela
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 S22.080:
Notes that apply from higher levels
Instructions written at a parent level also apply to S22.080S.
› From S22 Fracture of rib(s), sternum and thoracic spine
- 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
- fracture of thoracic neural arch
- fracture of thoracic spinous process
- fracture of thoracic transverse process
- fracture of thoracic vertebra
- fracture of thoracic vertebral arch
- transection of thorax (S28.1)
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.
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue
ICD-9-CM equivalent
Converter →- 905.1Late effect of fracture of spine and trunk without mention of spinal cord lesionapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about S22.080S
Is S22.080S billable?
- Yes. S22.080S is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "S" at the end of S22.080S mean?
- It is the 7th character for sequela. Per the official guidelines, use it for complications or conditions that arise as a direct result of the original condition.
Can S22.080S be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict S22.080S as a principal diagnosis.
Is S22.080S a CC or MCC?
- No. S22.080S is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does S22.080S group to?
- S22.080S is used in the MS-DRG v44.0 logic for MS-DRG 551 (Medical Back Problems with MCC) and MS-DRG 552 (Medical Back Problems without 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 S22.080S?
- The CMS General Equivalence Mappings map S22.080S to ICD-9-CM 905.1.