ICD 10 CM S22.23XS | Description & Clinical Information

ICD 10 S22.23XS describes a medical condition known as sternal manubrial dissociation, which occurs when the uppermost part of the sternum, or manubrium, separates or splits from the body of the sternum, or chest bone, either anteriorly or posteriorly, as a result of high impact trauma to the chest, such as from a motor vehicle accident, assaults, falls, or sports injuries, and this code is used for a subsequent encounter for a sequela, which is a condition that results from the fracture.

Official Description Of S22.23XS

The ICD 10 CM book defines ICD 10 code S22.23XS as:

When To Use S22.23XS

The diagnosis describes by the ICD 10 CM S22.23XS code pertains to a particular injury known as manubriosternal split. This type of injury typically results from trauma or an impact to the chest area. Patients with this condition may experience moderate to severe pain on palpation over the sternum, shortness of breath, and difficulty breathing. In addition, they may also experience sharp pain when taking a deep breath, coughing, or sneezing, along with bruising and swelling.

Furthermore, some patients may experience palpitations, which can be a sign of cardiac contusion. The patient may also show signs of other injuries such as rib fractures. A healthcare provider typically diagnoses manubriosternal split by conducting a physical examination and obtaining the patient’s medical history. Additionally, the doctor may use pulse oximetry to measure the amount of oxygen in the patient’s blood and imaging techniques such as X-rays, computed tomography scans, or ultrasound to determine the extent of the injury.

If the healthcare provider suspects cardiac contusion, they may order laboratory examination of the blood for CK MB and ECG. The results of these tests can help to rule out or confirm the presence of cardiac contusion. Treatment options for manubriosternal split depend upon the severity of the injury. In cases where the fracture is relatively mild, doctors may recommend rest and conservative treatment.

Depending on the patient’s symptoms, the healthcare provider may also recommend supplemental oxygen, cardiac monitoring, and medications such as analgesics or nonsteroidal anti-inflammatory drugs to manage pain and inflammation. Physical therapy can also be helpful in the management of manubriosternal split, particularly in cases where the fracture has led to reduced mobility and stiffness.

In some cases, surgery may be necessary to stabilize the fracture with wires and plates. This is usually only considered when conservative treatments fail to provide relief or the fracture is severe enough to require surgical intervention. It is important to seek prompt medical attention if you suspect you have manubriosternal split or any other type of chest injury, as early diagnosis and treatment are essential in preventing further complications.