ICD 10 CM S22.43XK | Description & Clinical Information

ICD 10 S22.43XK describes a specific medical condition characterized by the presence of a fracture in one or more ribs, which are the curved flat bones that wrap around the chest from the spine to the sternum or breast bone, and is typically caused by blunt trauma to the chest, such as in a motor vehicle accident, a fall, or during sports activities, and may occur in conjunction with other chest injuries, and this code is used to indicate a subsequent encounter for multiple rib fractures on both sides of the body that fail to unite.

Official Description Of S22.43XK

The ICD 10 CM book defines ICD 10 code S22.43XK as:

Multiple fractures of ribs, bilateral, subsequent encounter for fracture with nonunion
Parent Code Notes: S22.4

Excludes1: flail chest (S22.5-)

Parent Code Notes: S22

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: fracture of clavicle (S42.0-)
fracture of scapula (S42.1-)

Code first any associated:
injury of intrathoracic organ (S27.-)
spinal cord injury (S24.0-, S24.1-)

When To Use S22.43XK

The diagnosis describes by ICD 10 CM S22.43XK is multiple rib fractures, which is a common injury that can result in moderate to severe chest pain. This type of injury can occur due to a variety of causes, including automobile accidents, falls, and sports-related injuries.

One of the most common symptoms of multiple rib fractures is chest pain, which can be intense and may be exacerbated by deep breathing, coughing, sneezing or twisting the upper body. This occurrence of sharp pain may make it difficult for patients to take a full breath in. Additionally, patients may also experience tenderness when the affected area is gently touched.

The diagnosis of multiple rib fractures is typically established based on a patient’s medical history and a thorough physical examination. Moreover, the auscultation of crepitus, which is an audible grating sound over the broken rib when the patient moves, is often a tell-tale sign of this condition. Furthermore, providers may recommend imaging techniques such as Xrays, computed tomography, magnetic resonance imaging, and bone scans if they suspect a stress fracture.

Managing multiple rib fractures typically requires a multifaceted approach that relies on several treatment options. The first course of action is often intermittent cold compresses, which may help manage swelling and pain. Additionally, rest is essential to allow the body to start the healing process. Taking slow deep breaths or coughing is also important to avoid atelectasis, which is the partial collapse of the lung, and pneumonia, which may develop from a lack of exercise of the lungs. Providers may also prescribe opioid analgesics for severe pain and nonsteroidal anti-inflammatory drugs for less severe pain. Furthermore, treatment of other injuries sustained at the same time is also essential.

As with any injury, effectively managing multiple rib fractures is essential to ensure a full and healthy recovery. It is vital for patients to communicate openly with their healthcare providers to establish a course of treatment that addresses their unique needs. Furthermore, patients should take an active role in their recovery by adhering to recommended treatments consistently, such as regular physical therapy, following dietary and exercise recommendations and by being patient with the healing process that can take a considerable amount of time.

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