Fracture of unspecified phalanx of unspecified finger, initial encounter for closed fracture. S62.609A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM S62.609A became effective on October 1, 2018.
While you're waiting to see a doctor
You would code the aftercare codes for follow up visits while the fracture is healing after the initial treatment. The guidelines state: "Fractures are coded using the aftercare codes for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
Internal fixation is a type of fixation of a fracture usually is not removed after the fracture has healed. When a bone is fractured, it should be immediately stabilized to allow full recovery.
Avulsion fracture (chip fracture) of talus The 2022 edition of ICD-10-CM S92. 15 became effective on October 1, 2021. This is the American ICD-10-CM version of S92.
602B for Fracture of unspecified phalanx of right middle finger, initial encounter for open fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
ICD-9 Code 816.00 -Closed fracture of phalanx or phalanges of hand unspecified- Codify by AAPC.
S69.91XAS69. 91XA - Unspecified injury of right wrist, hand and finger(s) [initial encounter] | ICD-10-CM.
A tuft fracture is frequently an open fracture due to its common association with injury to the surrounding soft tissues or nail bed. Even without surrounding soft tissue injury, the fracture is considered open in the presence of a nail bed injury.
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.
Encounter for other orthopedic aftercare Z47. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z47. 89 became effective on October 1, 2021.
W54.0XXAICD-10-CM Code for Bitten by dog, initial encounter W54. 0XXA.
Unspecified superficial injury of unspecified finger, initial encounter. S60. 949A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S60.
How ICD-10 codes are structuredFirst three characters: General category,Fourth character (to the right of the decimal): The type of injury,Fifth character: Which finger was injured,Sixth character: Which hand was injured,Seventh character: The type of encounter (A, D, or S) as discussed above.
ICD-10-CM Code for Pain in hand and fingers M79. 64.
Superficial repairs involving uncontaminated wounds, closed with a single layer, are reported with codes 12002-12007 and are based on the laceration length. For example, 12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet) 2.5 cm or less is appropriate for wounds less than 2.5 cm in length, and 12002 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet) 2.6 cm to 7.5 cm is appropriate for lacerations between 2.6 cm and 7.5 cm.#N#Closure with simple laceration repair is generally performed with non-absorbable suture material, such as nylon, Ethilon, or Prolene. Alternately, the physician may use tissue adhesive, which is also reported with the simple laceration repair CPT ® codes for non-Medicare patients. Medicare, however, requires G0168 Wound closure utilizing tissue adhesive (s) only use for reporting single layer tissue adhesive repairs.#N#If the wound is heavily contaminated or requires a layered closure, move from the simple repair codes to intermediate codes 12041-12047. Final code selection depends on laceration or repair length. If tissue adhesive is used in addition to suture material, the repair is reported with the 12041-12047, as appropriate to wound length, for both Medicare and non-Medicare payers.#N#Note that when tendon repairs are performed, musculoskeletal section codes, such as 26418 Repair of extensor tendon, finger, primary or secondary; without free graft, each tendon, should be reported.
The finger is composed of many tissue types. Injuries to the fingertip may involve the skin, nail bed, nails, blood vessels, nerves, bone, or any combination of these tissues. Patients with fingertip injuries frequently seek treatment in the emergency department (ED).
Nail bed repair generally requires the use of absorbable sutures such as Vicryl, chromic, or gut utilized in a single layer repair (11760 Repair of nail bed ). Occasionally the physician needs to remove the nail to allow for access to the nail bed for repair.
These codes are also identified as open or closed procedures, and with or without anesthesia. Open procedures refer to surgical incision to repair the fracture.
All fractures default to a “closed” fracture if it’s not documented. Closed fracture means that there’s a broken bone but it is not coming out through the skin. This is really gross to think about but since we’re coders, we have to. Basically, if the report states “open fracture,” you’d code it as open fracture.
But what that means is that the bone is so broken and messed up that you’d be able to see it. It’s through the skin (these are very bad fractures, sometimes from gunshot wounds and those types of injuries).