ICD-10 Coding for Right Radius Fracture(S52.521A, S52.501K)
Complete ICD-10-CM coding and documentation guide for Right Radius Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Radius Fracture
S52.5-Primary Range
Fractures of the lower end of the radius
This range includes specific codes for fractures of the distal radius, which is a common site for fractures.
Fractures of the shaft of the radius
This range covers fractures occurring in the mid-section of the radius.
Fractures of the proximal end of the radius
This range includes fractures at the upper part of the radius near the elbow.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S52.521A | Torus fracture of lower end of right radius, initial encounter | Use for initial encounter when imaging shows a torus fracture. |
|
| S52.501K | Unspecified fracture of lower end of right radius, subsequent encounter for fracture with nonunion | Use for subsequent encounters when nonunion is confirmed. |
|
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 radius fracture
Essential facts and insights about Right Radius Fracture
Primary ICD-10-CM Codes for right radius fracture
Decision Criteria
clinical Criteria
- Imaging shows buckling of cortex
documentation Criteria
- Documentation specifies 'torus' or 'buckle'
Applicable To
- Buckle fracture of the right distal radius
Excludes
- Fracture of the ulna
Clinical Validation Requirements
- Imaging confirms buckling of cortex without complete break
Code-Specific Risks
- Incorrectly coding as a complete fracture
Coding Notes
- Ensure documentation specifies 'torus' or 'buckle' to avoid misclassification.
S52.501K - Unspecified fracture of lower end of right radius, subsequent encounter for fracture with nonunion
Use for subsequent encounters when nonunion is confirmed.
Applicable To
- Nonunion of fracture
Excludes
- Malunion of fracture
Clinical Validation Requirements
- Documentation of failed healing after 90 days
Coding Notes
Ensure nonunion is clearly documented with imaging or clinical notes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Right Radius Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.521A.
Impact
Clinical: Impacts treatment decisions and outcomes., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Include Gustilo classification in operative notes., Educate staff on documentation requirements.
Impact
Reimbursement: Claims may be denied or delayed., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Always specify 'right' in documentation and coding.
Impact
Reimbursement: Incorrect coding can lead to claim rejections., Compliance: Violates ICD-10 coding guidelines for encounter types., Data Quality: Misleading data on patient care phases.
Mitigation Strategy
Switch to 'D' for routine healing or 'G' for delayed healing.
Impact
Using the wrong 7th character for encounter type can lead to audits.
Mitigation Strategy
Regular training on ICD-10 coding updates.
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 Radius Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Radius Fracture
Use these documentation templates to ensure complete and accurate documentation for Right Radius Fracture. These templates include all required elements for proper coding and billing.
Initial ED Visit for Right Radius Fracture
Specialty: Emergency MedicineRequired Elements
- Patient demographics
- Mechanism of injury
- Imaging results
- Fracture type and location
- Initial treatment provided
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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