ICD-10 Coding for Fracture of Sternum(S2220XA, S2222XA)
Complete ICD-10-CM coding and documentation guide for Fracture of Sternum. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fracture of Sternum
S22.2-Primary Range
Fracture of sternum
This range includes specific codes for fractures of different parts of the sternum and whether they are open or closed.
Other injuries of thorax
Includes associated intrathoracic injuries that may occur with sternum fractures.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S2220XA | Unspecified fracture of sternum, initial encounter for closed fracture | Use when the documentation does not specify the location or type of sternum fracture. |
|
| S2222XA | Fracture of body of sternum, initial encounter for closed fracture | Use when the fracture is specifically located in the body of the sternum. |
|
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 fracture of sternum
Essential facts and insights about Fracture of Sternum
Primary ICD-10-CM Codes for fracture of sternum
Decision Criteria
documentation Criteria
- Lack of specific fracture location
Applicable To
- Unspecified sternal fracture
Excludes
- Pathological fracture (M84.5-)
Clinical Validation Requirements
- Clinical examination indicating sternal tenderness
- Imaging confirming fracture without specific location
Code-Specific Risks
- Lower reimbursement due to lack of specificity
Coding Notes
- Ensure documentation specifies if the fracture is open or closed.
S2222XA - Fracture of body of sternum, initial encounter for closed fracture
Use when the fracture is specifically located in the body of the sternum.
Applicable To
- Fracture of sternal body
Excludes
- Pathological fracture (M84.5-)
Clinical Validation Requirements
- CT scan confirming fracture of sternal body
Coding Notes
Document any displacement or comminution for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fracture of Sternum to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S2220XA.
Impact
Clinical: May lead to misdiagnosis or inadequate treatment., Regulatory: Increases risk of coding audits., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure thorough documentation of exam and imaging findings, Use specific terminology for fractures
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of audits due to lack of specificity., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies fracture location and type.
Impact
High audit risk when using unspecified codes for sternal fractures.
Mitigation Strategy
Ensure documentation specifies fracture location and type.
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 Sternum, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Sternum
Use these documentation templates to ensure complete and accurate documentation for Fracture of Sternum. These templates include all required elements for proper coding and billing.
MVC with sternal fracture
Specialty: Emergency MedicineRequired Elements
- Mechanism of injury
- Physical exam findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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