ICD-10 Coding for Coccyx Fracture(S32.2XXA, S33.22XA)
Complete ICD-10-CM coding and documentation guide for Coccyx Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coccyx Fracture
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S32.2XXA | Fracture of coccyx, initial encounter | Use for initial encounter when the fracture is confirmed by imaging and documented as closed or displaced. |
|
| S33.22XA | Dislocation of sacrococcygeal joint, initial encounter | Use when a dislocation accompanies a coccyx fracture. |
|
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 coccyx fracture
Essential facts and insights about Coccyx Fracture
Primary ICD-10-CM Codes for coccyx fracture
Decision Criteria
clinical Criteria
- Imaging confirms fracture of coccyx.
documentation Criteria
- Documentation specifies closed or displaced fracture.
Applicable To
- Closed fracture of coccyx
- Displaced fracture of coccyx
Excludes
- Congenital coccygeal anomaly (Q76.4)
Clinical Validation Requirements
- Imaging confirmation of fracture
- Documentation of fall or trauma
Code-Specific Risks
- Incorrectly coding as open fracture without documentation
Coding Notes
- Ensure documentation specifies whether the fracture is open or closed, and displaced or nondisplaced.
S33.22XA - Dislocation of sacrococcygeal joint, initial encounter
Use when a dislocation accompanies a coccyx fracture.
Applicable To
- Anterior dislocation of sacrococcygeal joint
Clinical Validation Requirements
- Imaging confirmation of dislocation
- Documentation of associated trauma
Coding Notes
Ensure both fracture and dislocation are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Low back pain
M54.5Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Contusion of lower back/pelvis
S39.03Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coccyx Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.2XXA.
Impact
Clinical: Inaccurate tracking of patient encounters., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential claim denials or delays.
Mitigation Strategy
Train staff on the importance of 7th characters.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Use Q76.4 for congenital anomalies unless acute fracture is confirmed.
Impact
Failure to use correct 7th character for encounter type.
Mitigation Strategy
Implement regular training and audits.
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 Coccyx Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coccyx Fracture
Use these documentation templates to ensure complete and accurate documentation for Coccyx Fracture. These templates include all required elements for proper coding and billing.
Initial Evaluation of Coccyx Fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Imaging results
- Pain assessment
- Fracture type
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Coccyx Fracture? Ask your questions below.