Full Answer
S82.202D ICD-10-CM Code for Unspecified fracture of shaft of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC S82.202C
For example, ICD-10-CM guidelines state, “A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.” Fractures also require the use of a 7th character extender. The ICD-10-CM guidelines indicate:
ICD-10-CM coding: S52.372B Galeazzi’s fracture of the left radius, initial encounter for open fracture type 1. The Galeazzi fracture is a fracture of the radius with dislocation of the distal radioulnar joint.
The ICD-10-CM guidelines indicate: Traumatic fractures are coded using the appropriate 7th character extension for initial encounter (A, B, C) while the patient is receiving active treatment for the fracture. Examples of active treatment are: surgical treatment, emergency department encounter, and evaluation and treatment by a new physician.
Unspecified fracture of shaft of right femur, initial encounter for closed fracture. S72. 301A 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 S72.
Fracture of femur ICD-10-CM S72. 309A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
ICD-10 Code for Displaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture- S82. 61XA- Codify by AAPC.
In this case, report ICD-10-CM codes S72. 402A (Unspecified fracture of lower end of left femur, initial encounter for closed fracture) as the principal/first listed diagnosis followed by M97. 02XA (Periprosthetic fracture around internal prosthetic left hip joint, initial encounter) as a secondary diagnosis.
Pathological fracture, hip, unspecified, initial encounter for fracture. M84. 459A 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 M84.
S72. 92XD - Unspecified fracture of left femur [subsequent encounter for closed fracture with routine healing] | ICD-10-CM.
You have sustained a fracture to your fibula (outside ankle bone). It is also called a Weber B fracture. This normally takes six weeks to heal but you may still have pain and swelling for up to six months after your injury.
Abstract. Isolated distal fibula fractures represent the majority of ankle fractures. These fractures are often the result of a low-energy trauma with external rotation and supination mechanism. Diagnosis is based on clinical signs and radiographic exam.
The fourth stage of the supination-external rotation (SER 4)1 type of ankle fracture consisting of a fibular fracture at the level of the syndesmosis and a medial malleolar fracture or a rupture of the deltoid ligament, is unstable. It is usually treated operatively.
A periprosthetic hip fracture is a broken bone that occurs around the implants of a total hip replacement. It is a serious complication that most often requires surgery.
452A.
You can use 27507 however, as a reference to the carrier, of the basis of your fee. Be sure to use the diagnosis code for a periprosthetic fracture, along with the femoral shaft diagnosis code, and the V code for THR.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.
The 2022 edition of ICD-10-CM S82.44 became effective on October 1, 2021.
Traumatic fracture codes are found in chapter 19 of ICD-10-CM, “Injury, Poisoning and Certain Other Consequences of External Causes (S00-T98).” This chapter uses the S-section for coding different injuries related to single body regions, and the T-section to cover injuries to unspecified body regions, as well as codes for poisoning and certain other consequences of external causes.
In each subcategory there are choices for displaced and non-displaced, as well as laterality. A requirement for coding a clavicle fracture is the 7th character extension. Choices for this subcategory consist of:
According to the American Academy of Family Physicians (AAFP), the anatomic site of the clavicle fracture is typically described using the Allman classification, which divides the clavicle into thirds. Group I (midshaft) fractures occur on the middle third of the clavicle; group II fractures on the lateral (distal) third; and group III fractures on the medial (proximal) third. Knowing these terms and classification can help in code assignment.
A bone fracture is a medical condition in which there is a break in the continuity of the bone. A bone fracture can be the result of high-force impact or stress, or trivial injury as a result of a medical condition that weaken the bones (e.g., osteoporosis, bone cancer, or osteogenesis imperfecta).
Even though there is only one long bone for the clavicle, there are 24 coding choices in ICD-10-CM. These choices consist of four subcategories:
Correctly coding the fracture ensures the provider will be reimbursed for appropriate follow-up visits and that the patient can receive appropriate outpatient (i.e . PT, imaging, etc.) services . Uncomplicated follow-up visits may be bundled by a payor.
In this case, the fracture of the femur and wrist were both caused by being hit by a car.
Clinical Documentation#N#1. I CD-10-CM can now capture the side and specific bone or joint. Including the specific information ensures the correct “side” code is assigned.#N#2. Be as specific as possible when describing the effects of the condition.
RLE: open fracture of the mid-shaft region of the femur. Wound is approximately 15 cm in length and the bone fragments show injury to bone and periosteum (Gustilo Type IIIB); at least three fragments are visible. No apparent nerve or vascular injuries are noted.
Clinical Documentation#N#- Subcategory M50.1 describes cervical disc disorders. M50.12 Cervical disc disease that includes degeneration of the disc as a combination code. The 5th character differentiates various regions of the cervical spine (high cervical C2-3 and C3-4; mid-cervical C4-5, C5-6, and C6-7; cervicothoracic#N#C7-T1 and the associated radiculopathies at each level). This is a combination code that includes the disc degeneration and radiculopathy
When one or more fractures occur and different surgical procedures are performed, all of the first procedures are coded as initial encounter. The 7th character is not influenced by the order of the surgical procedures.
Active and passive range of motion remain to right shoulder is significantly decreased .
There’s something called the Gustilo open fracture classification system, which categorizes open fractures into three types based on the cause of injury, extent of soft tissue damage, and amount of bone damage. The classes are I, II, and III, with class III further subdivided into A, B, or C.
Example: Patient comes in for initial treatment of a stress fracture of the hip, where the pattern is transverse-posterior. The correct code is S32.461A (displaced associated transverse-posterior fracture of right acetabulum, initial encounter for closed fracture).
Patient is a 24-year-old male brought to the Emergency Department after being struck by a car while crossing the street. He denies any previous medical diseases or surgical procedures.
VSS, Physical Exam is within normal limits with the following exceptions:
The patient was admitted to the hospital and taken directly to the operating room for initial treatment, including debridement and irrigation of the right open fracture and splinting of the left wrist.