ICD-10 Coding for Distal Radial Fracture(S52.501A, S52.502A)
Complete ICD-10-CM coding and documentation guide for Distal Radial Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Distal Radial Fracture
S52.5Primary Range
Fracture of the distal radius
This range includes all types of distal radial fractures, including Colles', Smith's, and other specific fracture types.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S52.501A | Unspecified fracture of the lower end of right radius, initial encounter for closed fracture | Use for initial encounter when the fracture type is unspecified and involves the right distal radius. |
|
| S52.502A | Unspecified fracture of the lower end of left radius, initial encounter for closed fracture | Use for initial encounter when the fracture type is unspecified and involves the left distal radius. |
|
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 left distal radial fracture
Essential facts and insights about Distal Radial Fracture
Primary ICD-10-CM Codes for distal radial fracture
Decision Criteria
clinical Criteria
- Fracture confirmed by imaging
documentation Criteria
- Laterality specified in the medical record
Applicable To
- Closed fracture of distal radius
Excludes
- Open fracture of distal radius
Clinical Validation Requirements
- Radiographic evidence of fracture
- Clinical examination confirming fracture
Code-Specific Risks
- Potential for under-coding if fracture type is later specified
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
S52.502A - Unspecified fracture of the lower end of left radius, initial encounter for closed fracture
Use for initial encounter when the fracture type is unspecified and involves the left distal radius.
Applicable To
- Closed fracture of distal radius
Excludes
- Open fracture of distal radius
Clinical Validation Requirements
- Radiographic evidence of fracture
- Clinical examination confirming fracture
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Periprosthetic fracture around internal orthopedic device, initial encounter
M97.42XADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Unspecified fracture of the lower end of left radius, initial encounter for closed fracture
S52.502AUnspecified fracture of the lower end of right radius, initial encounter for closed fracture
S52.501ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Distal Radial Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.501A.
Impact
Clinical: Leads to less precise clinical data., Regulatory: May not meet coding compliance standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure detailed fracture type is documented., Use specific codes when available.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Document the exact number of fragments fixated during surgery.
Impact
Failure to document the number of fragments can lead to incorrect coding and audits.
Mitigation Strategy
Implement standardized templates that prompt for fragment count.
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 Distal Radial Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Distal Radial Fracture
Use these documentation templates to ensure complete and accurate documentation for Distal Radial Fracture. These templates include all required elements for proper coding and billing.
Operative note for distal radial fracture
Specialty: Orthopedic SurgeryRequired Elements
- Fracture type and location
- Number of fragments
- Reduction method
- Fixation details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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