ICD-10 Coding for Fracture of Right Distal Radius(S52.501A, S52.531A)
Complete ICD-10-CM coding and documentation guide for Fracture of Right Distal Radius. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fracture of Right Distal Radius
S52.5-S52.6Primary Range
Fractures of the forearm
This range includes specific codes for fractures of the distal radius, including Colles' and Smith's 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 |
|---|---|---|---|
| S52.501A | Unspecified fracture of the distal end of right radius, initial encounter for closed fracture | Use when the specific type of fracture (e.g., Colles', Smith's) is not specified. |
|
| S52.531A | Colles' fracture of right radius, initial encounter for closed fracture | Use when imaging confirms Colles' fracture characteristics. |
|
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 right distal radius fracture
Essential facts and insights about Fracture of Right Distal Radius
Primary ICD-10-CM Codes for fracture right distal radius
Decision Criteria
clinical Criteria
- Presence of fracture on imaging
documentation Criteria
- Documentation of laterality and encounter type
Applicable To
- Closed fracture of distal end of right radius
Excludes
- Fracture of distal end of left radius
Clinical Validation Requirements
- Radiographic confirmation of fracture
- Documentation of laterality (right)
Code-Specific Risks
- Risk of denial if specific fracture type is documented but not coded.
Coding Notes
- Ensure documentation specifies laterality and encounter type.
S52.531A - Colles' fracture of right radius, initial encounter for closed fracture
Use when imaging confirms Colles' fracture characteristics.
Applicable To
- Dorsal displacement of distal radius
Excludes
- Smith's fracture
Clinical Validation Requirements
- Radiographic evidence of dorsal displacement
- Documentation of radial shortening
Coding Notes
Ensure documentation specifies dorsal displacement and radial shortening.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fracture of ulnar styloid process
S62.5-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 Fracture of Right Distal Radius to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.501A.
Impact
Clinical: Potential for incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Claim denials or reduced reimbursement.
Mitigation Strategy
Implement mandatory fields for laterality in EHR templates., Educate staff on the importance of complete documentation.
Impact
Reimbursement: Potential for claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for clinical and research purposes.
Mitigation Strategy
Ensure documentation specifies fracture type and use the corresponding specific code.
Impact
Risk of audits due to use of unspecified codes when specific fracture types are documented.
Mitigation Strategy
Ensure detailed documentation and use of specific codes.
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 Right Distal Radius, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Right Distal Radius
Use these documentation templates to ensure complete and accurate documentation for Fracture of Right Distal Radius. These templates include all required elements for proper coding and billing.
Initial Encounter for Right Distal Radius Fracture
Specialty: OrthopedicsRequired Elements
- Patient demographics
- Mechanism of injury
- Imaging findings
- Fracture type and characteristics
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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