S20 Superficial injury of thorax

S20.0 Contusion of breast

S20.1 Other and unspecified superficial injuries of breast

S20.2 Contusion of thorax

S20.3 Other superficial injuries of front wall of thorax

S20.4 Other superficial injuries of back wall of thorax

S20.7 Multiple superficial injuries of thorax

S20.8 Superficial injury of other and unspecified parts of thorax

Incl.:

Thoracic wall NOS

S21 Open wound of thorax

Excl.:

traumatic:

• haemopneumothorax (S27.2)
• haemothorax (S27.1)
• pneumothorax (S27.0)

S21.0 Open wound of breast

S21.1 Open wound of front wall of thorax

S21.2 Open wound of back wall of thorax

S21.7 Multiple open wounds of thoracic wall

S21.8 Open wound of other parts of thorax

S21.9 Open wound of thorax, part unspecified

Incl.:

Thoracic wall NOS

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

Modifier-Hint

Incl.:

thoracic:

• neural arch
• spinous process
• transverse process
• vertebra
• vertebral arch

Excl.:

fracture of:

• clavicle (S42.0)
• scapula (S42.1)

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding to identify fracture and open wound; a fracture not indicated as closed or open should be classified as closed.

Code	Title
0	closed
1	open

S22.0 Fracture of thoracic vertebra

Incl.:

Fracture of thoracic spine NOS

S22.1 Multiple fractures of thoracic spine

S22.2 Fracture of sternum

S22.3 Fracture of rib

S22.4 Multiple fractures of ribs

S22.5 Flail chest

S22.8 Fracture of other parts of bony thorax

S22.9 Fracture of bony thorax, part unspecified

S23 Dislocation, sprain and strain of joints and ligaments of thorax

Excl.:

dislocation, sprain and strain of sterno-clavicular joint ( S43.2, S43.6)

rupture or displacement (nontraumatic) of thoracic intervertebral disc ( M51.-)

S23.0 Traumatic rupture of thoracic intervertebral disc

S23.1 Dislocation of thoracic vertebra

Incl.:

Thoracic spine NOS

S23.2 Dislocation of other and unspecified parts of thorax

S23.3 Sprain and strain of thoracic spine

S23.4 Sprain and strain of ribs and sternum

S23.5 Sprain and strain of other and unspecified parts of thorax

S24 Injury of nerves and spinal cord at thorax level

Excl.:

injury of brachial plexus ( S14.3)

S24.0 Concussion and oedema of thoracic spinal cord

S24.1 Other and unspecified injuries of thoracic spinal cord

S24.2 Injury of nerve root of thoracic spine

S24.3 Injury of peripheral nerves of thorax

S24.4 Injury of thoracic sympathetic nerves

Incl.:

Cardiac plexus

Oesophageal plexus

Pulmonary plexus

Stellate ganglion

Thoracic sympathetic ganglion

S24.5 Injury of other nerves of thorax

S24.6 Injury of unspecified nerve of thorax

S25 Injury of blood vessels of thorax

S25.0 Injury of thoracic aorta

Incl.:

Aorta NOS

S25.1 Injury of innominate or subclavian artery

S25.2 Injury of superior vena cava

Incl.:

Vena cava NOS

S25.3 Injury of innominate or subclavian vein

S25.4 Injury of pulmonary blood vessels

S25.5 Injury of intercostal blood vessels

S25.7 Injury of multiple blood vessels of thorax

S25.8 Injury of other blood vessels of thorax

Incl.:

Azygos vein

Mammary artery or vein

S25.9 Injury of unspecified blood vessel of thorax

S26 Injury of heart

Modifier-Hint

Incl.:

contusion laceration puncture traumatic rupture

of heart

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:

Code	Title
0	without open wound into thoracic cavity
1	with open wound into thoracic cavity

S26.0 Injury of heart with haemopericardium

S26.8 Other injuries of heart

S26.9 Injury of heart, unspecified

S27 Injury of other and unspecified intrathoracic organs

Modifier-Hint

Excl.:

injury of:

• cervical oesophagus (S10-S19)
• trachea (cervical) (S10-S19)

Modifiers

The following subdivisions are provided for optional use in a supplementary character position where it is not possible or not desired to use multiple coding:

Code	Title
0	without open wound into thoracic cavity
1	with open wound into thoracic cavity

S27.0 Traumatic pneumothorax

S27.1 Traumatic haemothorax

S27.2 Traumatic haemopneumothorax

S27.3 Other injuries of lung

S27.4 Injury of bronchus

S27.5 Injury of thoracic trachea

S27.6 Injury of pleura

S27.7 Multiple injuries of intrathoracic organs

S27.8 Injury of other specified intrathoracic organs

Incl.:

Diaphragm

Lymphatic thoracic duct

Oesophagus (thoracic part)

Thymus gland

S27.9 Injury of unspecified intrathoracic organ

S28 Crushing injury of thorax and traumatic amputation of part of thorax

S28.0 Crushed chest

Excl.:

flail chest ( S22.5)

S28.1 Traumatic amputation of part of thorax

Excl.:

transection of thorax ( T05.8)

S29 Other and unspecified injuries of thorax

S29.0 Injury of muscle and tendon at thorax level

S29.7 Multiple injuries of thorax

Incl.:

Injuries classifiable to more than one of the categories S20-S29.0

S29.8 Other specified injuries of thorax

S29.9 Unspecified injury of thorax