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ICD-10 Coding for Acetabular Fracture(S32.4XX_, S32.432A)

Complete ICD-10-CM coding and documentation guide for Acetabular Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Hip Socket Fracture

Related ICD-10 Code Ranges

Complete code families applicable to Acetabular Fracture

S32.4XXPrimary Range

Fracture of acetabulum

Primary range for coding acetabular fractures, specifying location, laterality, and encounter type.

Periprosthetic fracture around prosthetic hip joint

Used for coding periprosthetic fractures in conjunction with S codes for traumatic fractures.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S32.4XX_Fracture of acetabulumUse for any acetabular fracture, specifying location, laterality, and encounter type.
  • CT scan with 3D reconstruction
  • Judet-Letournel classification
S32.432ADisplaced fracture of anterior column, right acetabulum, initial encounterUse for initial encounter of displaced anterior column fracture of the right acetabulum.
  • CT scan with 3D reconstruction

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for acetabular fracture

Essential facts and insights about Acetabular Fracture

The ICD-10 code for acetabular fracture is S32.4XX_, with specific codes for fracture type and encounter.

Primary ICD-10-CM Codes for acetabular fracture

Fracture of acetabulum
Non-billable Code

Decision Criteria

clinical Criteria

  • CT scan confirms acetabular fracture

coding Criteria

  • Specify laterality and encounter type

Applicable To

  • Displaced fracture of anterior column
  • Displaced fracture of posterior wall

Excludes

Clinical Validation Requirements

  • CT scan with 3D reconstruction
  • Judet-Letournel classification

Code-Specific Risks

  • Incorrect laterality
  • Missing encounter type

Coding Notes

  • Ensure to document the fracture's specific location and encounter type.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Periprosthetic fracture around prosthetic hip

M97.01_
Use with S codes for traumatic fractures when a prosthetic joint is involved.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Femoral neck fractures

S72.0XX_
Use when the fracture is located at the femoral neck, not the acetabulum.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Acetabular Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.4XX_.

Impact

Clinical: Inaccurate treatment phase documentation., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential claim denials.

Mitigation Strategy

Always include 7th character for encounter type.

Impact

Reimbursement: May lead to incorrect billing and reduced reimbursement., Compliance: Non-compliance with coding standards., Data Quality: Decreases accuracy of patient records.

Mitigation Strategy

Always specify right or left acetabulum in documentation.

Impact

Failure to sequence S and M codes correctly for periprosthetic fractures.

Mitigation Strategy

Train staff on proper sequencing rules.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Acetabular Fracture, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Acetabular Fracture

Use these documentation templates to ensure complete and accurate documentation for Acetabular Fracture. These templates include all required elements for proper coding and billing.

Post-ORIF for acetabular fracture

Specialty: Orthopedics

Required Elements

  • Fracture type
  • Surgical approach
  • Fixation method

Example Documentation

Open reduction internal fixation of displaced posterior wall fracture via Kocher-Langenbeck approach.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Acetabular fracture treated.
Good Documentation Example
Displaced posterior wall fracture, right acetabulum, treated with ORIF via Kocher-Langenbeck approach.
Explanation
The good example specifies fracture type, laterality, and surgical approach.

Need help with ICD-10 coding for Acetabular Fracture? Ask your questions below.

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