ICD-10 Coding for Pubic Rami Fracture(S32.3XXA, S32.82XA)
Complete ICD-10-CM coding and documentation guide for Pubic Rami Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pubic Rami Fracture
S32.3XXA-S32.84XAPrimary Range
Fractures of the pelvis, including pubic rami
This range includes specific codes for fractures of the pubic rami and other pelvic fractures, allowing for precise documentation and coding.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S32.3XXA | Fracture of pubis, initial encounter for closed fracture | Use for isolated pubic ramus fractures without additional pelvic ring involvement. |
|
| S32.82XA | Multiple fractures of pelvis without disruption of pelvic ring | Use when multiple pelvic fractures are present and specific site codes are not applicable. |
|
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 pubic rami fracture
Essential facts and insights about Pubic Rami Fracture
Primary ICD-10-CM Codes for pubic rami fracture
Decision Criteria
clinical Criteria
- Isolated fracture confirmed by imaging
Applicable To
- Isolated superior/inferior pubic ramus fracture without pelvic ring disruption
Excludes
- Multiple fractures of pelvis (S32.82XA)
Clinical Validation Requirements
- CT or X-ray confirmation of isolated pubic ramus fracture
- Documentation of traumatic event or fall
Code-Specific Risks
- Misclassification as multiple pelvic fractures
Coding Notes
- Ensure documentation specifies the fracture as isolated to avoid incorrect coding.
S32.82XA - Multiple fractures of pelvis without disruption of pelvic ring
Use when multiple pelvic fractures are present and specific site codes are not applicable.
Applicable To
- ≥2 pelvic fractures without specific site codes
Excludes
- Fractures with pelvic ring disruption (S32.84XA)
Clinical Validation Requirements
- Imaging showing multiple fractures without ring disruption
Coding Notes
Verify imaging to confirm absence of pelvic ring disruption.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pubic Rami Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.3XXA.
Impact
Clinical: Inaccurate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Standardize documentation templates to include laterality, Educate staff on importance of complete documentation
Impact
Reimbursement: Incorrect coding may affect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Code each fracture site separately if specific codes are available.
Impact
Using S32.82XA when specific codes are available for each fracture site.
Mitigation Strategy
Educate coders on proper code selection and provide decision support tools.
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 Pubic Rami Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pubic Rami Fracture
Use these documentation templates to ensure complete and accurate documentation for Pubic Rami Fracture. These templates include all required elements for proper coding and billing.
Initial Encounter for Traumatic Pubic Rami Fracture
Specialty: OrthopedicsRequired Elements
- Patient history
- Imaging results
- Fracture specifics (location, displacement, laterality)
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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