ICD-10 Coding for Metacarpal Fracture(S62.336B)
Complete ICD-10-CM coding and documentation guide for Metacarpal Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Metacarpal Fracture
S62.3XXPrimary Range
Fracture of metacarpal bone
This range covers fractures of the metacarpal bones, including specific types like Boxer's and Bennett's fractures.
Key Information: ICD-10 code for metacarpal fracture
Essential facts and insights about Metacarpal Fracture
Primary ICD-10-CM Code for metacarpal fracture
Decision Criteria
clinical Criteria
- Presence of open wound and displacement
Applicable To
- Boxer's fracture with open wound
Excludes
- Phalangeal fractures (S62.5XX)
Clinical Validation Requirements
- X-ray showing displaced fracture
- Open wound documentation
Code-Specific Risks
- Omitting laterality
- Incorrect encounter type
Coding Notes
- Ensure documentation specifies open fracture and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Open bite of right hand
S61.451ADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Unspecified fracture of metacarpal bone, initial encounter
S62.309ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Metacarpal Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S62.336B.
Impact
Clinical: Inaccurate patient records., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential claim denials.
Mitigation Strategy
Always document the side of the body affected.
Impact
Reimbursement: May lead to denied claims or reduced payment., Compliance: Non-compliance with coding standards., Data Quality: Poor data quality affecting patient records.
Mitigation Strategy
Ensure documentation specifies fracture type, laterality, and encounter type.
Impact
High risk of audit for using unspecified codes.
Mitigation Strategy
Use specific codes with complete documentation.
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 Metacarpal Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Metacarpal Fracture
Use these documentation templates to ensure complete and accurate documentation for Metacarpal Fracture. These templates include all required elements for proper coding and billing.
Emergency Department Visit
Specialty: Emergency MedicineRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Metacarpal Fracture? Ask your questions below.