ICD-10 Coding for Contusion of Right Foot(S90.31XA)
Complete ICD-10-CM coding and documentation guide for Contusion of Right Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Contusion of Right Foot
S90.3Primary Range
Contusion of foot
This range includes all contusions of the foot, specifying laterality and encounter type.
Key Information: ICD-10 code for contusion of right foot
Essential facts and insights about Contusion of Right Foot
Primary ICD-10-CM Code for contusion of right foot
Decision Criteria
clinical Criteria
- Presence of swelling, tenderness, or ecchymosis on the right foot
documentation Criteria
- Documentation must include laterality and encounter type
Applicable To
- Bruise of right foot
- Hematoma of right foot
Excludes
- Contusion of toes (S90.1-)
Clinical Validation Requirements
- Physical exam showing swelling, tenderness, or ecchymosis on the right foot
- X-ray negative for fracture
Code-Specific Risks
- Omitting laterality or encounter type can lead to unspecified coding.
Coding Notes
- Ensure documentation specifies the right foot and encounter type to avoid unspecified codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter
W01.19XADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Contusion of toe(s)
S90.1-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Contusion of Right Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S90.31XA.
Impact
Clinical: Leads to inaccurate patient records., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Train staff to always include encounter type in documentation.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Always specify laterality and encounter type in documentation.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Ensure documentation includes all necessary details for specific coding.
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 Contusion of Right Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Contusion of Right Foot
Use these documentation templates to ensure complete and accurate documentation for Contusion of Right Foot. These templates include all required elements for proper coding and billing.
Initial encounter for right foot contusion
Specialty: Emergency MedicineRequired Elements
- History of present illness detailing mechanism of injury
- Physical exam findings including swelling, tenderness, ecchymosis
- X-ray results if performed
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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