ICD-10 Coding for Fracture of Right Wrist(S52.501A, S62.031A)
Complete ICD-10-CM coding and documentation guide for Fracture of Right Wrist. 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 Wrist
S52.5-S52.6Primary Range
Fracture of forearm
Includes fractures of the distal radius and ulna, common in wrist injuries.
Fracture of wrist and hand level
Includes fractures of the carpal bones, such as the scaphoid.
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 right radius, initial encounter for closed fracture | Use when the specific type of fracture is not documented but is confirmed as a closed fracture. |
|
| S62.031A | Displaced fracture of the right scaphoid bone, initial encounter for closed fracture | Use when the fracture is confirmed as a displaced scaphoid fracture. |
|
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 wrist fracture
Essential facts and insights about Fracture of Right Wrist
Primary ICD-10-CM Codes for fracture right wrist
Decision Criteria
documentation Criteria
- Documentation must specify laterality and encounter type.
Applicable To
- Closed fracture of right distal radius
Excludes
- Open fracture of right radius
Clinical Validation Requirements
- X-ray confirmation of fracture
- Clinical examination indicating fracture
Code-Specific Risks
- Risk of under-documentation leading to unspecified coding
Coding Notes
- Ensure laterality and encounter type are documented to avoid unspecified coding.
S62.031A - Displaced fracture of the right scaphoid bone, initial encounter for closed fracture
Use when the fracture is confirmed as a displaced scaphoid fracture.
Applicable To
- Displaced fracture of right scaphoid waist
Excludes
- Nondisplaced fracture of right scaphoid
Clinical Validation Requirements
- Snuffbox tenderness
- X-ray or MRI confirmation
Coding Notes
Ensure displacement is documented to avoid incorrect coding.
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 Wrist to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.501A.
Impact
Clinical: Leads to inadequate treatment records., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential claim denials and revenue loss.
Mitigation Strategy
Ensure complete documentation before coding., Use templates to guide documentation.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate health records.
Mitigation Strategy
Always document the side of the body affected (right or left).
Impact
High risk of audit for using unspecified codes.
Mitigation Strategy
Ensure complete and specific 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 Fracture of Right Wrist, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Right Wrist
Use these documentation templates to ensure complete and accurate documentation for Fracture of Right Wrist. These templates include all required elements for proper coding and billing.
Initial Evaluation of Right Wrist Fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Fracture type and location
- Neurovascular status
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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