ICD-10 Coding for Fracture of the Sacrum(S32.110A, M80.08xA)
Complete ICD-10-CM coding and documentation guide for Fracture of the Sacrum. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fracture of the Sacrum
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S32.110A | Nondisplaced fracture of sacrum, initial encounter for closed fracture | Use for initial encounter of a nondisplaced Zone I sacral fracture. |
|
| M80.08xA | Age-related osteoporosis with current pathological fracture, sacrum | Use when the fracture is due to osteoporosis and minimal trauma. |
|
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 sacral fracture
Essential facts and insights about Fracture of the Sacrum
Primary ICD-10-CM Codes for fracture sacrum
Decision Criteria
clinical Criteria
- Confirmed nondisplaced fracture in Zone I by imaging
documentation Criteria
- Detailed trauma history and imaging findings
Applicable To
- Zone I sacral fracture
Excludes
- Pathological fracture due to osteoporosis
Clinical Validation Requirements
- CT/MRI confirming nondisplaced fracture in Zone I
- Trauma history
Code-Specific Risks
- Misclassification if displacement is not accurately documented.
Coding Notes
- Ensure documentation specifies the zone and displacement.
M80.08xA - Age-related osteoporosis with current pathological fracture, sacrum
Use when the fracture is due to osteoporosis and minimal trauma.
Applicable To
- Pathological sacral fracture due to osteoporosis
Excludes
- Traumatic sacral fracture
Clinical Validation Requirements
- DEXA scan T-score ≤-2.5
- Minimal trauma history
Coding Notes
Ensure osteoporosis is documented and fracture is due to minimal trauma.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
External cause codes for falls
W00-W19Differential 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 the Sacrum to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.110A.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure imaging reports are reviewed and included in documentation., Educate staff on the importance of detailed documentation.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies the fracture zone and displacement.
Impact
High risk of audit when using unspecified codes without justification.
Mitigation Strategy
Ensure all documentation is complete and specific to avoid using unspecified 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 the Sacrum, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of the Sacrum
Use these documentation templates to ensure complete and accurate documentation for Fracture of the Sacrum. These templates include all required elements for proper coding and billing.
Initial encounter for sacral fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Imaging findings
- Neurological assessment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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