ICD-10 category · Chapter XIX · S20-S29

S22 Fracture of rib(s), sternum and thoracic spine

25 codes under S22 in the South African Master Industry Table 2021, 16 valid for clinical use; 15 marked as a Prescribed Minimum Benefit.

Valid: the code is at its most specific level and may go on an account. Heading only: code to a more specific entry beneath it. PMB and CDL: a Prescribed Minimum Benefit or Chronic Disease List condition per the Council for Medical Schemes. † dagger and * asterisk codes are used as a pair. How to read the table
CodeDescriptionUseBenefits
S22Fracture of rib(s), sternum and thoracic spineHeading only—
S22.0Fracture of thoracic vertebraHeading only—
S22.00Fracture of thoracic vertebra, closedValid · may be primaryPMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
S22.01Fracture of thoracic vertebra, openValid · may be primaryPMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S22.1Multiple fractures of thoracic spineHeading only—
S22.10Multiple fractures of thoracic spine, closedValid · may be primaryPMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisation
S22.11Multiple fractures of thoracic spine, openValid · may be primaryPMB 109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord · Repair /reconstruction; medical management; inpatient rehabilitation up to 2 monthsPMB 491H Dislocations / fractures of vertebral column without spinal cord injury · Medical management; surgical stabilisationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S22.2Fracture of sternumHeading only—
S22.20Fracture of sternum, closedValid · may be primaryPMB 147H Crush injuries of trunk, upper limbs, lower limbs, including blood vessels · Surgical management; ventilation; acute renal dialysis
S22.21Fracture of sternum, openValid · may be primaryPMB 900D Open fracture of ribs and sternum; multiple rib fractures; flail chest · Medical and surgical management, ventilationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S22.3Fracture of ribHeading only—
S22.30Fracture of rib, closedValid · may be primary—
S22.31Fracture of rib, openValid · may be primaryPMB 900D Open fracture of ribs and sternum; multiple rib fractures; flail chest · Medical and surgical management, ventilationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S22.4Multiple fractures of ribsHeading only—
S22.40Multiple fractures of ribs, closedValid · may be primaryPMB 900D Open fracture of ribs and sternum; multiple rib fractures; flail chest · Medical and surgical management, ventilation
S22.41Multiple fractures of ribs, openValid · may be primaryPMB 900D Open fracture of ribs and sternum; multiple rib fractures; flail chest · Medical and surgical management, ventilationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S22.5Flail chestHeading only—
S22.50Flail chest, closedValid · may be primaryPMB 900D Open fracture of ribs and sternum; multiple rib fractures; flail chest · Medical and surgical management, ventilation
S22.51Flail chest, openValid · may be primaryPMB 900D Open fracture of ribs and sternum; multiple rib fractures; flail chest · Medical and surgical management, ventilationPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S22.8Fracture of other parts of bony thoraxHeading only—
S22.80Fracture of other parts of bony thorax, closedValid · may be primaryPMB 147H Crush injuries of trunk, upper limbs, lower limbs, including blood vessels · Surgical management; ventilation; acute renal dialysis
S22.81Fracture of other parts of bony thorax, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
S22.9Fracture of bony thorax, part unspecifiedHeading only—
S22.90Fracture of bony thorax, part unspecified, closedValid · may be primaryPMB 147H Crush injuries of trunk, upper limbs, lower limbs, including blood vessels · Surgical management; ventilation; acute renal dialysis
S22.91Fracture of bony thorax, part unspecified, openValid · may be primaryPMB 900H Open fracture / dislocation of bones and joints · Reduction / relocation; medical and surgical management
Prescribed Minimum Benefits in S22. A medical scheme must fund the diagnosis, treatment and care of a PMB condition in full, within its rules on designated providers and treatment protocols. The PMB code and treatment component beside each code come from the Council for Medical Schemes’ PMB Coded List; the scheme decides whether a given claim qualifies.

Source and terms

Reproduced from the national table, unaltered.

The Department publishes the table for the industry to load. The ICD-10 Master Industry Table page

Codes and descriptions: ICD-10 Master Industry Table (MIT) 2021, published 16 March 2021 by the National Department of Health, Republic of South Africa. ® National Department of Health: all rights reserved. Reproduced for reference without alteration.

ICD-10 is the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, © World Health Organization. The WHO ICD-10 descriptions appear as published in the MIT.

Prescribed Minimum Benefit (PMB) and Chronic Disease List (CDL) markers: Council for Medical Schemes, PMB Coded List, as read by GreenNotes. Benefit decisions rest with each medical scheme.

Source file: ICD-10_MIT_2021_Excel_16-March_2021.xlsx. Found an error in a code or description? Write to help@greennotes.co.za.

This lookup is a reference to the published code table, not coding advice. Code assignment is the treating practitioner’s responsibility, following the South African ICD-10 Coding Standards and Guidelines and the WHO ICD-10 volumes. GreenNotes does not warrant that the table is complete or current.
This is the South African table. Most ICD-10 results online are the United States’ ICD-10-CM, a different code set that South African medical schemes do not accept. Regulation 5 of the General Regulations under the Medical Schemes Act requires the diagnostic code on every account, and the Master Industry Table is the list it is coded from.

In GreenNotes

Code the consultation once. The invoice and the claim pick it up.

GreenNotes looks codes up from this same table while you write the consultation. The codes you record there, including any the clinical AI included for your review, carry into the invoice and the medical-aid claim.