Multiple Rib Fractures ICD-10-CM Codes

Learn about the common multiple rib fractures ICD codes you can use through this guide.

By Matt Olivares on Aug 8, 2025.

What ICD-10 codes are used for multiple rib fractures?

Multiple rib fractures are significant injuries. Here are some commonly used Multiple Rib Fracture ICD codes:

S22.49XA - Multiple fractures of ribs, unspecified side, initial encounter for closed fracture
S22.49XB - Multiple fractures of ribs, unspecified side, initial encounter for open fracture
S22.41XA - Multiple fractures of ribs, right side, initial encounter for closed fracture
S22.41XB - Multiple fractures of ribs, right side, initial encounter for open fracture
S22.42XA - Multiple fractures of ribs, left side, initial encounter for closed fracture
S22.42XB - Multiple fractures of ribs, left side, initial encounter for open fracture
S22.43XA - Multiple fractures of ribs, bilateral, initial encounter for closed fracture
S22.43XB - Multiple fractures of ribs, bilateral, initial encounter for open fracture

These are just some of the codes you can use. All of these are for initial encounters, which means they have subsequent encounter and sequela variants. Use the appropriate one based on your patient's status.

The subsequent encounter codes come with additional labels:

Routine healing: The fractures are healing over time
Delayed healing: the fractures are taking a longer time to heal than expected
Nonunion: fractured pieces don't heal as intended, so they don't grow back together

Which multiple rib fractures ICD codes are billable?

All of the aforementioned multiple rib fractures ICD-10 codes are valid and billable.

Clinical information

Multiple rib fractures present severe clinical scenarios. Important details include:

Potential causes: This can be caused by trauma, such as vehicle accidents, falls, or blunt force impact.
Associated risks: This can lead to severe complications like pneumothorax, hemothorax, or flail chest.
Symptoms: Symptoms include pain, particularly when breathing deeply, shortness of breath, bruising, and swelling.
Treatment: This involves pain control, respiratory support, and in severe cases, surgery.

Synonyms include:

Fractures of multiple ribs
Multiple broken ribs
Multiple rib injuries
Bilateral rib fractures
Chest injuries
Initial encounter for multiple rib fractures
Subsequent encounter for fracture of ribs
Thoracic vertebra fracture
Multiple rib fractures accompanied by spinal cord injury
Multiple rib fracture with routine healing
Multiple rib fracture with delayed healing
Thoracic intervertebral disc injury accompanied by multiple rib fractures
Bony thorax fracture
Traumatic pneumothorax injury
Traumatic hemopneumothorax injury
Traumatic hemothorax injury
Multiple rib fractures including presence of foreign body
Multiple rib fracture with nonunion
Musculoskeletal system fracture: multiple rib fractures

Popular search terms for multiple rib fractures ICD-10 codes

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Commonly asked questions

Recovery time for multiple rib fractures varies but typically takes six weeks to several months, depending on the severity and overall patient health.

Treatment primarily focuses on pain control, using painkillers and breathing exercises. In severe cases, surgery might be necessary.

Multiple rib fractures can lead to complications such as pneumothorax, hemothorax, or flail chest. These can be life-threatening and require immediate medical attention.

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