The radius is one of two forearm bones and is located on the thumb side. The part of the radius connected to the wrist joint is called the distal radius. When the radius breaks near the wrist, it is called a distal radius fracture. The break usually happens due to falling on an outstretched or flexed hand.
Wedge compression fracture of first lumbar vertebra, initial encounter for closed fracture
Surgery for Distal Radius Fractures This option is usually for fractures that are considered unstable or can’t be treated with a cast. Surgery is typically performed through an incision over the volar aspect of your wrist (where you feel your pulse). This allows full access to the break.
ICD-10 code S52. 501A for Unspecified fracture of the lower end of right radius, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Other ways the distal radius can break include: Intra-articular fracture — An intra-articular fracture is one that extends into the wrist joint. ("Articular" means "joint.") Extra-articular fracture — A fracture that does not extend into the joint is called an extra-articular fracture.
ICD-10 Code for Personal history of (healed) traumatic fracture- Z87. 81- Codify by AAPC.
ICD-10-CM Code for Unspecified fracture of right wrist and hand, initial encounter for closed fracture S62. 91XA.
Fracture types can be described as “extra – articular” (which means the fracture line does not extend into the joint) or “intra – articular” ( which means the fracture line does extend into the joint; this is the more serious type of fracture).
An extra-articular fracture features a break above the wrist joint; the fracture does not extend into the joint itself. Intra-articular fractures are wrist fractures that affect the wrist joint. The distal radius is fractured, including the joint. Comminuted fractures involve multiple breaks of the distal radius.
Subsequent encounter (D) is used for encounters after the patient has received active treatment of the injury and is receiving routine care for the injury during the healing or recovery phase (e.g., cast change or removal, an x-ray to check healing status of fracture, removal of external or internal fixation device, ...
D (subsequent encounter) describes any encounter after the active phase of treatment, when the patient is receiving routine care for the injury during the period of healing or recovery. S (sequela) indicates a complication or condition that arises as a direct result of an injury.
Z87. 81 - Personal history of (healed) traumatic fracture | ICD-10-CM.
ICD-9-CM and ICD-10-CM CodesOsteoporosis ICD-9-CM & ICD-10-CM CodesWrist fracture: 813.4, 733.12S52.90XA, S52.539A, S52.549A, S52.509A, S52.609A, S52.119A, S52.529A, S52.019A, S52.629A, S52.011A, S52.012A, S52.621A, A52.622A, M84.439A15 more rows
Multiple fractures of ribs ICD-10-CM S22. 43XA is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
CPT® 25606, Under Fracture and/or Dislocation Procedures on the Forearm and Wrist. The Current Procedural Terminology (CPT®) code 25606 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Forearm and Wrist.
Both the treating physician and the consulting physician have provided active care, and both visits are initial encounters. Neither prescribing medicine, nor referral to a physical therapist, is considered active care for fracture coding.
Fracture coding can be a challenge for both physicians and coders, but its effect on hierarchical condition code (HCC) funding in Medicare Advantage, as well as health plan Star ratings, leaves little room for speculation. Knowing how ICD-10 delineates initial and subsequent visits is key.