ICD-10 Coding for Avulsion Fracture(S92.151A)
Complete ICD-10-CM coding and documentation guide for Avulsion Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Avulsion Fracture
S92.15Primary Range
Fracture of talus
This range includes codes for fractures of the talus, including avulsion fractures.
Key Information: ICD-10 code for avulsion fracture
Essential facts and insights about Avulsion Fracture
Primary ICD-10-CM Code for avulsion fracture
Decision Criteria
clinical Criteria
- Presence of a displaced avulsion fragment on imaging
documentation Criteria
- Documentation of closed fracture status
Applicable To
- Displaced avulsion fracture of right talus
Excludes
- Fracture of calcaneus (S92.0-)
Clinical Validation Requirements
- X-ray showing displaced avulsion fragment
- Clinical documentation of closed fracture
Code-Specific Risks
- Incorrectly coding as open without documentation of skin breach
Coding Notes
- Ensure laterality and displacement status are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified fall, initial encounter
W19.XXXADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Fracture of lateral malleolus
S82.5xxADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Avulsion Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S92.151A.
Impact
Clinical: Leads to unspecified coding, affecting treatment plans., Regulatory: Non-compliance with ICD-10 specificity requirements., Financial: Potential for reduced reimbursement due to unspecified codes.
Mitigation Strategy
Always document the side of the body affected., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding may lead to inappropriate DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Verify and document skin breach before coding as open.
Impact
Lack of specificity can lead to audit flags.
Mitigation Strategy
Ensure all documentation includes necessary details like laterality and displacement.
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 Avulsion Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Avulsion Fracture
Use these documentation templates to ensure complete and accurate documentation for Avulsion Fracture. These templates include all required elements for proper coding and billing.
Emergency Department Note
Specialty: OrthopedicsRequired Elements
- Patient history
- Mechanism of injury
- Imaging results
- Fracture details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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