Fracture of rib(s), sternum and thoracic spine Note: A fracture not indicated as displaced or nondisplaced should be coded to displacedA fracture not indicated as open or closed should be coded to closedIncludes:fracture of thoracic neural archfracture of thoracic spinous processfracture of thoracic transverse processfracture of thoracic vertebrafracture of thoracic vertebral archExcludes1transection of thorax (S28.1)Excludes2fracture of clavicle (S42.0-)fracture of scapula (S42.1-)The appropriate 7th character is to be added to each code from category S22A - initial encounter for closed fractureB - initial encounter for open fractureD - subsequent encounter for fracture with routine healingG - subsequent encounter for fracture with delayed healingK - subsequent encounter for fracture with nonunionS - sequela