ICD-10 Coding for Pelvic Fracture(S32.1XXA, S32.4XXA)
Complete ICD-10-CM coding and documentation guide for Pelvic Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pelvic Fracture
S32.1XXA-S32.5XXAPrimary Range
Fractures of the pelvis including sacrum, ilium, pubis, acetabulum, and coccyx
These codes cover the primary fractures of different parts of the pelvis.
Multiple fractures of the pelvis without disruption of the pelvic ring
Used when multiple fractures occur without pelvic ring disruption.
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 for closed fracture | Use for initial encounter of closed sacral fracture. |
|
| S32.4XXA | Fracture of acetabulum, initial encounter for closed fracture | Use for initial encounter of closed acetabular fracture. |
|
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 pelvic fracture
Essential facts and insights about Pelvic Fracture
Primary ICD-10-CM Codes for pelvic fracture
Decision Criteria
clinical Criteria
- Confirmed fracture on imaging
Applicable To
- Closed fracture of sacrum
Excludes
- Open fracture of sacrum
Clinical Validation Requirements
- CT or X-ray confirmation of sacral fracture
- Mechanism of injury documented
Code-Specific Risks
- Incorrectly coding as open fracture
Coding Notes
- Ensure fracture type and encounter type are clearly documented.
S32.4XXA - Fracture of acetabulum, initial encounter for closed fracture
Use for initial encounter of closed acetabular fracture.
Applicable To
- Closed fracture of acetabulum
Excludes
- Open fracture of acetabulum
Clinical Validation Requirements
- CT or X-ray showing acetabular fracture
- Documented mechanism of injury
Coding Notes
Ensure documentation specifies fracture type and encounter type.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pelvic Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.1XXA.
Impact
Clinical: Leads to inadequate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure diagnosis is confirmed before coding, Use specific ICD-10 codes
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts the accuracy of healthcare data.
Mitigation Strategy
Ensure documentation specifies the exact location and type of fracture.
Impact
Errors in DRG assignment due to improper documentation.
Mitigation Strategy
Ensure complete and accurate documentation of all clinical findings.
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 Pelvic Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pelvic Fracture
Use these documentation templates to ensure complete and accurate documentation for Pelvic Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for pelvic fracture in the emergency department
Specialty: Emergency MedicineRequired Elements
- Mechanism of injury
- Imaging results
- Physical exam findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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