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ICD-10 Coding for Contusion Right Hand(S60.221A)

Complete ICD-10-CM coding and documentation guide for Contusion Right Hand. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Bruise Right HandRight Hand Bruise

Related ICD-10 Code Ranges

Complete code families applicable to Contusion Right Hand

S60.2-S60.29Primary Range

Contusion of hand and wrist

This range includes codes for contusions of the hand, specifying laterality and encounter type.

Key Information: ICD-10 code for right hand contusion

Essential facts and insights about Contusion Right Hand

The ICD-10 code for a right hand contusion, initial encounter, is S60.221A.

Primary ICD-10-CM Code for contusion right hand

Contusion of right hand, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Presence of ecchymosis and tenderness on the right hand without finger involvement.

documentation Criteria

  • Documentation must include laterality and encounter type.

Applicable To

  • Bruise of right hand

Excludes

  • Contusion of right finger (S60.0-)
  • Open wound of right hand (S61.2-)

Clinical Validation Requirements

  • Negative X-ray to rule out fracture
  • Physical exam showing ecchymosis and tenderness

Code-Specific Risks

  • Confusing with finger contusion codes
  • Omitting laterality or encounter type

Coding Notes

  • Ensure documentation specifies 'right hand' and encounter type to avoid unspecified coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Striking against or struck by other objects, initial encounter

W22.02XA
Use to describe the external cause of the injury.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Contusion of right index finger, initial encounter

S60.021A
Use when the contusion is specifically on the finger rather than the hand.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Contusion Right Hand to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S60.221A.

Impact

Clinical: Ambiguity in patient records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always specify right or left hand in documentation.

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Decreases accuracy of health records.

Mitigation Strategy

Ensure documentation specifies laterality and encounter type.

Impact

Failure to document laterality and encounter type can lead to audit flags.

Mitigation Strategy

Implement checklist for documentation requirements.

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 Right Hand, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Contusion Right Hand

Use these documentation templates to ensure complete and accurate documentation for Contusion Right Hand. These templates include all required elements for proper coding and billing.

Initial Evaluation of Right Hand Contusion

Specialty: Emergency Medicine

Required Elements

  • Mechanism of injury
  • Location and size of contusion
  • X-ray results
  • Pain and functional limitations

Example Documentation

Patient presents with a contusion on the right hand after striking a wall. X-ray shows no fracture. Initial encounter.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Bruised hand.
Good Documentation Example
Contusion of right hand, 3x4 cm ecchymosis, no fracture on X-ray, initial encounter.
Explanation
The good example specifies laterality, size, and encounter type, providing complete documentation.

Need help with ICD-10 coding for Contusion Right Hand? Ask your questions below.

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