ICD-10 Coding for Fifth Metacarpal Fracture(S62.336A, S62.336B)
Complete ICD-10-CM coding and documentation guide for Fifth Metacarpal Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fifth Metacarpal Fracture
S62.3Primary Range
Fracture of metacarpal bone(s)
This range includes specific codes for fractures of the fifth metacarpal, both open and closed.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S62.336A | Displaced fracture of neck of fifth metacarpal, initial encounter for closed fracture | Use for initial encounter of a displaced fracture of the neck of the fifth metacarpal. |
|
| S62.336B | Displaced fracture of neck of fifth metacarpal, initial encounter for open fracture | Use for initial encounter of a displaced open fracture of the neck of the fifth metacarpal. |
|
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 fifth metacarpal fracture
Essential facts and insights about Fifth Metacarpal Fracture
Primary ICD-10-CM Codes for fifth metacarpal fractions
Decision Criteria
clinical Criteria
- Presence of displacement and angulation on X-ray
Applicable To
- Displaced fracture of neck of fifth metacarpal
Excludes
- Fracture of other metacarpal bones
Clinical Validation Requirements
- X-ray confirmation of displacement
- Documentation of angulation
Code-Specific Risks
- Incorrectly coding as non-displaced
Coding Notes
- Ensure documentation specifies displacement and angulation.
S62.336B - Displaced fracture of neck of fifth metacarpal, initial encounter for open fracture
Use for initial encounter of a displaced open fracture of the neck of the fifth metacarpal.
Applicable To
- Displaced open fracture of neck of fifth metacarpal
Excludes
- Closed fractures
Clinical Validation Requirements
- X-ray confirmation of displacement
- Documentation of open wound and Gustilo classification
Coding Notes
Ensure documentation includes open fracture details and external cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Fifth Metacarpal Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S62.336A.
Impact
Clinical: Impacts treatment decisions, Regulatory: Non-compliance with coding standards, Financial: Potential for incorrect billing
Mitigation Strategy
Always confirm and document fracture status, Use checklists to ensure completeness
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure detailed documentation to support specific code selection.
Impact
Risk of audits due to use of unspecified codes
Mitigation Strategy
Use specific codes and ensure detailed documentation.
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 Fifth Metacarpal Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fifth Metacarpal Fracture
Use these documentation templates to ensure complete and accurate documentation for Fifth Metacarpal Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for a displaced fracture of the fifth metacarpal
Specialty: Emergency MedicineRequired Elements
- Location and type of fracture
- Displacement and angulation
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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