ICD-10 Coding for Right Radial Head Fracture(S52.121A)
Complete ICD-10-CM coding and documentation guide for Right Radial Head Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Radial Head Fracture
S52.1Primary Range
Fracture of upper end of radius
This range includes all fractures of the radial head, which is part of the upper end of the radius.
Key Information: ICD-10 code for right radial head fracture
Essential facts and insights about Right Radial Head Fracture
Primary ICD-10-CM Code for right radial head fracture
Decision Criteria
clinical Criteria
- Displacement confirmed by imaging
documentation Criteria
- Laterality specified as right
Clinical Validation Requirements
- X-ray or CT confirming displacement
- Clinical documentation of acute trauma
Code-Specific Risks
- Incorrect laterality documentation
- Failure to specify displacement
Coding Notes
- Ensure documentation specifies laterality and displacement status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Anterior subluxation of right radial head
S53.021ADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Nondisplaced fracture of head of right radius, initial encounter for closed fracture
S52.124ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Radial Head Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.121A.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denial.
Mitigation Strategy
Review imaging reports for displacement details., Include displacement status in clinical notes.
Impact
Reimbursement: Claims may be denied or delayed., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Always document and code the specific side affected.
Impact
Omissions in laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory fields for laterality in electronic health records.
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 Radial Head Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Radial Head Fracture
Use these documentation templates to ensure complete and accurate documentation for Right Radial Head Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for displaced right radial head fracture
Specialty: OrthopedicsRequired Elements
- Patient history
- Mechanism of injury
- Imaging results
- Physical examination findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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