ICD-10 Coding for Fracture of Right Foot(S92.301A, S92.315K)
Complete ICD-10-CM coding and documentation guide for Fracture of Right Foot. 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 Foot
S92.3-S92.9Primary Range
Fractures of foot and toe, except ankle
This range includes all traumatic fractures of the foot, excluding the ankle, and is the primary range for coding right foot 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 |
|---|---|---|---|
| S92.301A | Fracture of unspecified metatarsal bone(s), right foot, initial encounter for closed fracture | Use for initial encounters where the specific metatarsal bone is not identified. |
|
| S92.315K | Nonunion of fracture of fifth metatarsal bone, right foot | Use for subsequent encounters where nonunion is confirmed. |
|
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 foot fracture
Essential facts and insights about Fracture of Right Foot
Primary ICD-10-CM Codes for fracture right foot
Decision Criteria
clinical Criteria
- Presence of acute pain and inability to bear weight with X-ray confirmation.
Applicable To
- Closed fracture of metatarsal bone(s)
Excludes
- Stress fracture of metatarsal (M84.375-)
Clinical Validation Requirements
- X-ray report confirming closed fracture of unspecified metatarsal, right foot
Code-Specific Risks
- Risk of claim denial if laterality or encounter type is unspecified.
Coding Notes
- Ensure laterality and encounter type are specified to avoid denials.
S92.315K - Nonunion of fracture of fifth metatarsal bone, right foot
Use for subsequent encounters where nonunion is confirmed.
Applicable To
- Nonunion of fifth metatarsal fracture
Excludes
- Pathological fracture (M84.4-)
Clinical Validation Requirements
- CT scan showing nonunion of fifth metatarsal fracture, right foot
Coding Notes
Document imaging results and healing status clearly.
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 Fracture of Right Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S92.301A.
Impact
Clinical: Leads to incomplete clinical documentation., Regulatory: Increases risk of audit issues., Financial: May result in claim denials.
Mitigation Strategy
Ensure all codes include the appropriate 7th character., Review coding guidelines for encounter types.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Increases risk of audit issues., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always specify the exact bone and laterality.
Impact
Coding the wrong laterality can lead to audit flags.
Mitigation Strategy
Double-check clinical documentation and imaging reports for accuracy.
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 Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Right Foot
Use these documentation templates to ensure complete and accurate documentation for Fracture of Right Foot. These templates include all required elements for proper coding and billing.
Initial encounter for right foot fracture
Specialty: OrthopedicsRequired Elements
- Location of fracture
- Mechanism of injury
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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