Complete ICD-10-CM coding and documentation guide for Left Foot Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Complete code families applicable to Left Foot Fracture
Fractures of foot, except ankle
This range includes specific codes for fractures of the metatarsals, phalanges, and other bones of the foot.
Periprosthetic fracture around internal prosthetic joint
Used when a fracture occurs around a prosthetic joint, requiring additional coding for the prosthesis.
Compare key differences between these codes to ensure accurate selection
Code | Description | When to Use | Key Documentation |
---|---|---|---|
S92.3XXA | Fracture of metatarsal bone(s), left foot, initial encounter | Use for any confirmed fracture of the metatarsal bones in the left foot during the initial encounter. |
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S92.355A | Displaced fracture of fifth metatarsal bone, left foot, initial encounter | Use for a confirmed displaced fracture of the fifth metatarsal, especially at the metaphyseal-diaphyseal junction. |
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Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Essential facts and insights about Left Foot Fracture
Use for a confirmed displaced fracture of the fifth metatarsal, especially at the metaphyseal-diaphyseal junction.
Ensure the documentation specifies the displacement and exact location of the fracture.
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Avoid these common documentation and coding issues when documenting Left Foot Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S92.3XXA.
Clinical: Leads to incorrect treatment plans, Regulatory: Non-compliance with coding guidelines, Financial: Potential for claim denials
Always include encounter type in notes, Use templates to ensure completeness
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Reduces the accuracy of clinical data.
Always specify the exact bone and laterality to use a more specific code.
High risk of audit when using unspecified codes without justification.
Always document specific fracture details and use the most specific code available.
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.
Common questions about ICD-10 coding for Left Foot Fracture, with expert answers to help guide accurate code selection and documentation.
Use these documentation templates to ensure complete and accurate documentation for Left Foot Fracture. These templates include all required elements for proper coding and billing.
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