ICD-10 Coding for Fracture of Finger(S62.63xA)
Complete ICD-10-CM coding and documentation guide for Fracture of Finger. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fracture of Finger
S62.6Primary Range
Fracture of phalanx of finger
This range covers all types of phalanx fractures in fingers, including specific codes for each phalanx and laterality.
Key Information: ICD-10 code for displaced finger fracture
Essential facts and insights about Fracture of Finger
Primary ICD-10-CM Code for fracture finger
Decision Criteria
clinical Criteria
- Presence of displacement on imaging
documentation Criteria
- Detailed description of fracture type and encounter
Applicable To
- Displaced fracture of distal phalanx
Excludes
- Pathological fracture
Clinical Validation Requirements
- X-ray showing fracture line with displacement
- Clinical documentation of trauma
Code-Specific Risks
- Incorrect laterality
- Missing 7th character
Coding Notes
- Ensure documentation includes laterality and encounter type.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
External causes of falls
W00-W19Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Non-displaced fracture of distal phalanx of finger, initial encounter
S62.64xADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fracture of Finger to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S62.63xA.
Impact
Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim rejections.
Mitigation Strategy
Always document right or left side., Use templates that prompt for laterality.
Impact
Reimbursement: Potential claim denials or reduced payment., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate clinical data affecting patient care.
Mitigation Strategy
Always specify the exact phalanx and laterality.
Impact
Risk of audits due to unspecified fracture codes.
Mitigation Strategy
Implement mandatory documentation checks for specificity.
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 Fracture of Finger, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Finger
Use these documentation templates to ensure complete and accurate documentation for Fracture of Finger. These templates include all required elements for proper coding and billing.
Initial encounter for finger fracture
Specialty: OrthopedicsRequired Elements
- Fracture type
- Location
- Laterality
- Encounter type
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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