ICD-10 Coding for Brachial Plexus Injury(S14.3XXA, G54.0)
Complete ICD-10-CM coding and documentation guide for Brachial Plexus Injury. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Brachial Plexus Injury
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S14.3XXA | Injury of brachial plexus, initial encounter | Use for acute traumatic injuries to the brachial plexus. |
|
| G54.0 | Brachial plexus disorders | Use for chronic or compressive lesions of the brachial plexus. |
|
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 brachial plexus injury
Essential facts and insights about Brachial Plexus Injury
Primary ICD-10-CM Codes for brachial plexus injury
Decision Criteria
clinical Criteria
- Presence of acute trauma
documentation Criteria
- Detailed mechanism of injury
Applicable To
- Acute traumatic brachial plexus injury
Excludes
- Chronic brachial plexus disorders (G54.0)
Clinical Validation Requirements
- MRI showing root avulsion
- EDX with absent SNAPs
Code-Specific Risks
- Incorrectly using for non-traumatic conditions
Coding Notes
- Ensure laterality is specified with the 7th character.
G54.0 - Brachial plexus disorders
Use for chronic or compressive lesions of the brachial plexus.
Applicable To
- Chronic brachial plexus compression
Excludes
- Acute traumatic brachial plexus injury (S14.3)
Clinical Validation Requirements
- Negative trauma history
- EMG showing chronic changes
Coding Notes
Ensure chronicity is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Injury of axillary nerve
S44.3XDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Brachial Plexus Injury to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S14.3XXA.
Impact
Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document the affected side in the medical record.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use S14.3XXA for acute traumatic injuries.
Impact
Using G54.0 for acute trauma cases.
Mitigation Strategy
Educate coding staff on the differentiation between traumatic and non-traumatic codes.
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 Brachial Plexus Injury, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Brachial Plexus Injury
Use these documentation templates to ensure complete and accurate documentation for Brachial Plexus Injury. These templates include all required elements for proper coding and billing.
Acute traumatic brachial plexus injury
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Laterality
- Root involvement
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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