S22.028S Other fracture of second thoracic vertebra, sequela

ICD-10-CM S22.028S: Other fracture of second thoracic vertebra, sequela

ICD-10-CM code S22.028S designates an other fracture of the second thoracic vertebra, sequela. The concept is classified as an Injury or Poisoning. It exists as a narrower concept under the parent code S22.028 within the active 2026 terminology records, distinguishing it from initial encounter codes in the same category. 1 4

Plain-language overview

This diagnosis code identifies an other fracture of the second thoracic vertebra, sequela, providing a specific terminology label for this particular health condition within the ICD-10-CM system. 1

What this code represents

The semantic classification for this specific diagnosis is Injury or Poisoning, and the code maintains an active record status within the ICD-10-CM version 2026 terminology. 1 4

S22.028S is explicitly listed as a narrower concept under the parent concept S22.028, which is labeled as other fracture of the second thoracic vertebra. 1

Coding details

Within the second thoracic vertebra fracture category, S22.028S denotes a sequela, distinguishing it from initial encounter codes for closed fractures like S22.028A and open fractures like S22.028B. 6

The broader code tree for second thoracic vertebra fractures includes distinct sequela codes for stable burst fractures, unstable burst fractures, wedge compression fractures, and unspecified fractures. 6

Documentation considerations

The ICD-10-CM 2026 terminology record for S22.028S lists the preferred name as other fracture of second thoracic vertebra, sequela, and notes that the concept has narrower concepts. 1

Clinical context

Clinical literature establishes that spine fractures in the thoracic region can be treated nonsurgically with bracing or bed rest, while severe cases may require posterior or anterior spinal instrumentation systems. 2

What the sources add

While terminology records define the diagnosis code S22.028S as a sequela, clinical literature provides operational context regarding thoracic spine fracture treatment options without defining the code itself. 1 2

Coverage and utilization context

A related initial encounter code for this fracture, S22.028A, maps to Vertebral Fractures without Spinal Cord Injury under the CMS-HCC V28 risk adjustment model with a community non-dual aged RAF of 0.522. 5

Sources

1. ICD-10-CM S22.028S terminology record — National Cancer Institute Enterprise Vocabulary Services; accessed 2026-07-27.
2. TREATMENT OPTIONS FOR THORACOLUMBAR SPINE FRACTURES — pmc.ncbi.nlm.nih.gov; accessed 2026-07-27.
3. Article - Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF) (A57630) — cms.gov; accessed 2026-07-27.
4. EVS Explore — evsexplore.semantics.cancer.gov; accessed 2026-07-27.
5. 2026 ICD-10-CM S22.028A: Other fracture of second | HCC 401 — hccbuddy.com; accessed 2026-07-27.
6. ICD-10-CM 2024 | S22.02 - Fracture of second thoracic vertebra — unboundmedicine.com; accessed 2026-07-27.