ICD-10 Coding for Hypertension and Fractures(I10, S52.501A)
Complete ICD-10-CM coding and documentation guide for Hypertension and Fractures. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypertension and Fractures
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I10 | Essential (primary) hypertension | Use when hypertension is documented without complications. |
|
| S52.501A | Unspecified fracture of shaft of right radius, initial encounter for closed fracture | Use for initial encounter of a closed fracture of the right radial shaft. |
|
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 hypertension
Essential facts and insights about Hypertension and Fractures
Primary ICD-10-CM Codes for common
Decision Criteria
clinical Criteria
- Documented BP readings and absence of secondary causes.
Applicable To
- High blood pressure
Clinical Validation Requirements
- BP ≥140/90 mmHg on two separate readings
Code-Specific Risks
- Risk of under-documenting related conditions.
Coding Notes
- Ensure documentation specifies 'essential' or 'primary' hypertension.
S52.501A - Unspecified fracture of shaft of right radius, initial encounter for closed fracture
Use for initial encounter of a closed fracture of the right radial shaft.
Applicable To
- Closed fracture of right radial shaft
Excludes
- Open fracture of right radial shaft (S52.511A)
Clinical Validation Requirements
- Imaging confirmation of fracture type and laterality
Coding Notes
Ensure laterality and encounter type are documented.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypertension and Fractures to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I10.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Always specify right or left in documentation.
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Increases risk of audit failures., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Ensure documentation includes control status and any complications.
Impact
Use of unspecified codes without detailed documentation.
Mitigation Strategy
Ensure all relevant clinical details are documented.
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 Hypertension and Fractures, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypertension and Fractures
Use these documentation templates to ensure complete and accurate documentation for Hypertension and Fractures. These templates include all required elements for proper coding and billing.
Hypertension management in primary care
Specialty: Family MedicineRequired Elements
- BP readings
- Medication adjustments
- Follow-up plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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