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ICD-10 Coding for Left Superior and Inferior Pubic Rami Fractures(S32.512A, S32.592A)

Complete ICD-10-CM coding and documentation guide for Left Superior and Inferior Pubic Rami Fractures. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Left Pubic Rami FracturesLeft Pelvic Rami Fractures

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Related ICD-10 Code Ranges

Complete code families applicable to Left Superior and Inferior Pubic Rami Fractures

S32.5-S32.6Primary Range

Fractures of the pelvis, specifically the pubis and ischium

This range includes codes for fractures of the pubic and ischial bones, relevant for coding pubic rami fractures.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S32.512AFracture of superior rim of left pubis, initial encounter for closed fractureUse when the fracture is confirmed to be in the left superior pubic ramus.
  • Imaging confirmation of superior ramus fracture
  • Pain localized to superior pubic region
S32.592AOther specified fracture of left pubis, initial encounter for closed fractureUse when the fracture is confirmed to be in the left inferior pubic ramus.
  • CT/X-ray showing inferior ramus fracture
  • Pain/tenderness in inferior pubic region

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 left superior pubic ramus fracture

Essential facts and insights about Left Superior and Inferior Pubic Rami Fractures

The ICD-10 code for a left superior pubic ramus fracture is S32.512A, applicable for initial encounters with closed fractures.

Primary ICD-10-CM Codes for left superior and inferior pubic rami fracture

S32.512A
Fracture of superior rim of left pubis, initial encounter for closed fracture
Billable Code

Decision Criteria

clinical Criteria

  • Imaging shows fracture in superior pubic region.

Applicable To

  • Left superior pubic ramus fracture

Excludes

  • Fracture of ischium

Clinical Validation Requirements

  • Imaging confirmation of superior ramus fracture
  • Pain localized to superior pubic region

Code-Specific Risks

  • Incorrectly coding as unspecified pubic fracture

Coding Notes

  • Ensure documentation specifies 'superior' to avoid unspecified coding.
View Full Code Details

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
Use if the fracture involves the ischial component.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Left Superior and Inferior Pubic Rami Fractures to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.512A.

Impact

Clinical: Leads to unspecified coding, affecting treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or reduced reimbursement.

Mitigation Strategy

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

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data recording.

Mitigation Strategy

Verify anatomical location; use S32.592A for inferior pubic ramus.

Impact

Using unspecified codes when specific codes are applicable.

Mitigation Strategy

Ensure detailed documentation of fracture specifics.

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 Left Superior and Inferior Pubic Rami Fractures, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Left Superior and Inferior Pubic Rami Fractures

Use these documentation templates to ensure complete and accurate documentation for Left Superior and Inferior Pubic Rami Fractures. These templates include all required elements for proper coding and billing.

Initial Encounter for Left Pubic Rami Fractures

Specialty: Orthopedics

Required Elements

  • Fracture location and laterality
  • Displacement status
  • Imaging confirmation
  • Treatment plan

Example Documentation

Patient presents with left groin pain after fall. Imaging reveals displaced, closed fractures of left superior/inferior pubic rami. No posterior ring injury. Treated with analgesics and restricted weight-bearing.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Left pubic fracture.
Good Documentation Example
Closed, displaced fractures of left superior and inferior pubic rami, initial encounter. CT confirms no posterior ring disruption.
Explanation
The good example provides specific fracture details and imaging confirmation, supporting accurate coding.

Need help with ICD-10 coding for Left Superior and Inferior Pubic Rami Fractures? Ask your questions below.

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