S28.0XXA — Crushed chest, initial encounter
S28.0XXA is a billable, specific ICD-10-CM code for crushed chest, initial encounter. It is valid for submission on a claim.
7th character "A" — initial encounter
The appropriate 7th character is to be added to each code from category S28
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- flail chest (S22.5)
Use additional code
Add a secondary code to capture the detail described below.
- code for all associated injuries
Risk adjustment
S28.0XXA does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S28.0XXA is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56459Billing and Coding: Debridement Services
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Related codes at this level
Codes that share S28.0. If S28.0XXA is not quite right, the correct code is usually one of these.
Questions about S28.0XXA
- Is S28.0XXA a billable ICD-10-CM code?
- Yes. S28.0XXA is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S28.0XXA sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the thorax (S20-S29).
- What cannot be coded together with S28.0XXA?
- S28.0XXA carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.