ICD-10 Coding for Right Knee Fracture(S82.001A, S82.91XA)
Complete ICD-10-CM coding and documentation guide for Right Knee Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Knee Fracture
S82.001-S82.92Primary Range
Fracture of patella, femur, or tibia/fibula
This range includes specific codes for fractures of the knee and lower leg, essential for accurate documentation and coding.
Injury codes for knee and lower leg
This chapter-level range encompasses all injuries to the knee and lower leg, providing context for specific fracture codes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S82.001A | Closed transverse fracture of right patella, initial encounter | Use for initial encounters of closed transverse fractures of the right patella. |
|
| S82.91XA | Unspecified fracture of right lower leg, initial encounter | Avoid using unless specific fracture details are unavailable. |
|
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 right knee fracture
Essential facts and insights about Right Knee Fracture
Primary ICD-10-CM Codes for right knee fracture
Decision Criteria
clinical Criteria
- Presence of a closed transverse fracture confirmed by imaging.
documentation Criteria
- Documentation must specify closed fracture and laterality.
Applicable To
- Closed fracture of right patella
Excludes
- Open fracture of right patella
Clinical Validation Requirements
- X-ray confirmation of fracture line orientation
- Clinical documentation of closed fracture
Code-Specific Risks
- Failure to specify closed vs. open can lead to incorrect coding.
Coding Notes
- Ensure documentation specifies closed fracture and laterality.
S82.91XA - Unspecified fracture of right lower leg, initial encounter
Avoid using unless specific fracture details are unavailable.
Excludes
- Specific fractures of the tibia or fibula
Clinical Validation Requirements
- General fracture diagnosis without specific site or type
Coding Notes
Strive to obtain specific fracture details to avoid unspecified codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of fracture
Z87.81Differential 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 Right Knee Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.001A.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Always document laterality in assessments., Cross-check imaging reports.
Impact
Reimbursement: May result in claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of health records.
Mitigation Strategy
Ensure documentation includes specific fracture details such as type, location, and laterality.
Impact
High risk of audit if unspecified codes are used frequently.
Mitigation Strategy
Ensure detailed documentation and use specific codes.
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 Right Knee Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Knee Fracture
Use these documentation templates to ensure complete and accurate documentation for Right Knee Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for right knee fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Imaging results
- Fracture type and location
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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