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ICD-10 Coding for Right Wrist Contusion(S60.211)

Complete ICD-10-CM coding and documentation guide for Right Wrist Contusion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Right Wrist BruiseRight Wrist Hematoma

Related ICD-10 Code Ranges

Complete code families applicable to Right Wrist Contusion

S60.21-S60.219Primary Range

Contusion of wrist

This range includes codes for contusions of the wrist, specifying laterality and encounter type.

Key Information: ICD-10 code for right wrist contusion

Essential facts and insights about Right Wrist Contusion

The ICD-10 code for a right wrist contusion is S60.211, which requires documentation of laterality and absence of fracture.

Primary ICD-10-CM Code for right wrist contusion

Contusion of right wrist
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of swelling, tenderness, or ecchymosis on the right wrist.

coding Criteria

  • No fracture present on imaging.

documentation Criteria

  • Mechanism of injury documented.

Applicable To

  • Bruise of right wrist
  • Hematoma of right wrist

Excludes

Clinical Validation Requirements

  • Physical exam showing swelling, tenderness, or ecchymosis
  • X-ray ruling out fracture

Code-Specific Risks

  • Misclassification if fracture is present
  • Incorrect laterality documentation

Coding Notes

  • Ensure laterality is documented as 'right wrist'.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Struck against wall, initial encounter

W22.02XA
Use to specify the external cause of the contusion.

Fall on same level due to ice/snow, initial encounter

W00.0XXA
Use to specify the external cause of the contusion.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Wrist strain

S63.5-
Use if ligament or tendon injury is confirmed.

Fracture of unspecified carpal bone, left wrist

S62.102D
Use if imaging reveals a fracture.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Right Wrist Contusion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S60.211.

Impact

Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.

Mitigation Strategy

Always specify laterality in clinical notes., Use templates that prompt for laterality.

Impact

Reimbursement: May result in incorrect billing and reimbursement., Compliance: Non-compliance with specificity requirements., Data Quality: Impacts accuracy of patient records.

Mitigation Strategy

Ensure documentation specifies 'right wrist' to use S60.211.

Impact

Failure to document laterality can lead to audit findings.

Mitigation Strategy

Implement mandatory laterality fields in EHR templates.

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 Wrist Contusion, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Right Wrist Contusion

Use these documentation templates to ensure complete and accurate documentation for Right Wrist Contusion. These templates include all required elements for proper coding and billing.

Initial encounter for right wrist contusion

Specialty: Emergency Medicine

Required Elements

  • Mechanism of injury
  • Physical exam findings
  • Imaging results
  • Treatment plan

Example Documentation

Patient presents with right wrist pain after fall. Exam reveals swelling and ecchymosis over right wrist. X-ray negative for fracture. Diagnosis: Right wrist contusion (S60.211A).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Right wrist pain after fall.
Good Documentation Example
2x3 cm ecchymosis on right dorsal wrist; tenderness localized to ulnar styloid; no crepitus or deformity; X-ray negative for fracture.
Explanation
The good example provides specific details on the injury and confirms the absence of fracture.

Need help with ICD-10 coding for Right Wrist Contusion? Ask your questions below.

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