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Rib Fractures With Flail Chest and ORIF Coding Challenge

fractured ribs

*This post has been updated to reflect the coding guidelines for FY 2023.*

The Coding Challenge


A 35-year-old female was brought into the ED with severe chest pain and difficulty breathing after being involved in an automobile accident. The patient was the driver of a car that collided with another vehicle on the interstate highway. She sustained multiple comminuted and displaced rib fractures on the right side with flail chest. The surgeon performed open reduction and internal fixation of the rib fractures. Five ribs on the right side were reduced. Assign for ICD-10-CM and CPT.

A. S22.5XXA, V43.52XA, Y92.411, 21812-RT
B. S22.5XXB, V43.52XA, Y92.411, 21813-RT
C. S22.5XXB, V43.12XD, Y92.413, 21811-50
D. S22.5XXA, V43.12XA, Y92.413, 21812-LT


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