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ICD-10 Coding for Inferior Ramus Fracture(S32.592A, S32.89XA)

Complete ICD-10-CM coding and documentation guide for Inferior Ramus Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Inferior Pubic Ramus FracturePubic Ramus Fracture

Related ICD-10 Code Ranges

Complete code families applicable to Inferior Ramus Fracture

S32.5-S32.8Primary Range

Fractures of the pelvis

This range includes specific codes for fractures of the pubis, including the inferior ramus.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S32.592AFracture of other specified part of left pubis, initial encounter for closed fractureUse for isolated inferior pubic ramus fractures when laterality and displacement are documented.
  • CT or X-ray confirming fracture location
  • Documentation of displacement and laterality
S32.89XAOther specified fracture of pelvis, initial encounter for closed fractureUse when there is a pelvic ring disruption involving the inferior ramus.
  • CT showing concurrent sacral fracture or sacroiliac joint injury

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 inferior ramus fracture

Essential facts and insights about Inferior Ramus Fracture

The ICD-10 code for an inferior ramus fracture is S32.592A, specifying a fracture of the left pubis, initial encounter for closed fracture.

Primary ICD-10-CM Codes for inferior ramus fracture

Fracture of other specified part of left pubis, initial encounter for closed fracture
Billable Code

Decision Criteria

clinical Criteria

  • CT or X-ray confirms fracture of the inferior pubic ramus.

documentation Criteria

  • Documentation includes laterality and displacement.

Applicable To

  • Isolated inferior pubic ramus fracture

Excludes

Clinical Validation Requirements

  • CT or X-ray confirming fracture location
  • Documentation of displacement and laterality

Code-Specific Risks

  • Incorrectly coding as ischium fracture
  • Omitting laterality

Coding Notes

  • Ensure documentation specifies 'inferior pubic ramus' and includes displacement details.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Fall from slipping, tripping and stumbling without subsequent striking against object, initial encounter

W18.39XA
Use to describe the external cause of the fracture.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Fracture of ischium, initial encounter for closed fracture

S32.602A
Inferior ramus is part of the pubis, not the ischium.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Inferior Ramus Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.592A.

Impact

Clinical: Leads to unspecified coding., Regulatory: Non-compliance with ICD-10 requirements., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Always document left or right in clinical notes., Use templates that prompt for laterality.

Impact

Reimbursement: Potential for incorrect DRG assignment., Compliance: Non-compliance with anatomical specificity., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Confirm anatomical location as part of the pubis.

Impact

Risk of coding errors due to incorrect anatomical classification.

Mitigation Strategy

Regular training on pelvic anatomy and coding guidelines.

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 Inferior Ramus Fracture, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Inferior Ramus Fracture

Use these documentation templates to ensure complete and accurate documentation for Inferior Ramus Fracture. These templates include all required elements for proper coding and billing.

Emergency Department Evaluation

Specialty: Emergency Medicine

Required Elements

  • Mechanism of injury
  • Imaging results
  • Fracture location and displacement
  • Pelvic stability

Examples: Poor vs. Good Documentation

Poor Documentation Example
Pelvic fracture, treat conservatively.
Good Documentation Example
CT pelvis reveals displaced (3mm) fracture of left inferior pubic ramus with intact sacroiliac joints. No pelvic ring disruption. Closed injury.
Explanation
The good example provides specific details on fracture location, displacement, and pelvic stability.

Need help with ICD-10 coding for Inferior Ramus Fracture? Ask your questions below.

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