ICD-10 Coding for Fractured Pelvis(S32.1XXA, S32.8XXA)
Complete ICD-10-CM coding and documentation guide for Fractured Pelvis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fractured Pelvis
S32.1-S32.8Primary Range
Fractures of the pelvis
This range includes codes for specific fractures of the pelvis, such as sacrum, ilium, and pubis.
Unspecified fracture of pelvis
Used when the specific site of the pelvic fracture is not documented.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S32.1XXA | Fracture of sacrum, initial encounter | Use for initial encounters of sacral fractures. |
|
| S32.8XXA | Fracture of other specified parts of pelvis, initial encounter | Use for fractures of pelvic parts not specified elsewhere. |
|
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 fractured pelvis
Essential facts and insights about Fractured Pelvis
Primary ICD-10-CM Codes for fractured pelvis
Decision Criteria
clinical Criteria
- Presence of sacral fracture on imaging
documentation Criteria
- Documentation of initial encounter
Applicable To
- Sacral fracture
Excludes
- Coccyx fracture
Clinical Validation Requirements
- Imaging confirming sacral fracture
- Documentation of displacement and encounter type
Code-Specific Risks
- Incorrect laterality
- Missing encounter type
Coding Notes
- Ensure documentation specifies open vs. closed and displacement.
S32.8XXA - Fracture of other specified parts of pelvis, initial encounter
Use for fractures of pelvic parts not specified elsewhere.
Applicable To
- Fractures of pubis, ischium
Excludes
- Fracture of acetabulum
Clinical Validation Requirements
- Imaging confirming fracture of specified pelvic part
- Documentation of fracture type and encounter
Coding Notes
Ensure specific site and encounter type are documented.
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 Fractured Pelvis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.1XXA.
Impact
Clinical: Inaccurate treatment records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document whether the encounter is initial, subsequent, or for sequelae., Use templates to ensure completeness.
Impact
Reimbursement: Claims may be denied or delayed., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Always specify the side of the body affected by the fracture.
Impact
Reimbursement: Potential for lower reimbursement rates., Compliance: Failure to meet specificity requirements., Data Quality: Decreased accuracy in health records.
Mitigation Strategy
Use the most specific code available based on documentation.
Impact
Risk of audits due to use of unspecified codes.
Mitigation Strategy
Ensure documentation supports the most specific code possible.
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 Fractured Pelvis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fractured Pelvis
Use these documentation templates to ensure complete and accurate documentation for Fractured Pelvis. These templates include all required elements for proper coding and billing.
Initial encounter for pelvic fracture
Specialty: Emergency MedicineRequired Elements
- Mechanism of injury
- Physical exam findings
- Imaging results
- Fracture type and location
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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