ICD-10 Coding for Right Wrist Fracture(S52.501A, S52.531A)
Complete ICD-10-CM coding and documentation guide for Right Wrist Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Wrist Fracture
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S52.501A | Unspecified fracture of the right radius, initial encounter for closed fracture | Use when the fracture type is not specified but confirmed as closed and initial encounter. |
|
| S52.531A | Colles' fracture of the right radius, initial encounter for closed fracture | Use for Colles' fracture with dorsal displacement confirmed on imaging. |
|
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 wrist fracture
Essential facts and insights about Right Wrist Fracture
Primary ICD-10-CM Codes for right wrist fracture
Decision Criteria
clinical Criteria
- Fracture confirmed by X-ray without specific type identified
Applicable To
- Initial encounter for closed fracture without intra-articular involvement
Excludes
- Open fracture of the right radius
Clinical Validation Requirements
- Clinical examination and imaging confirming fracture without specific type identified
Code-Specific Risks
- Risk of under-coding if specific fracture type is not documented
Coding Notes
- Ensure documentation specifies closed fracture and initial encounter.
S52.531A - Colles' fracture of the right radius, initial encounter for closed fracture
Use for Colles' fracture with dorsal displacement confirmed on imaging.
Applicable To
- Dorsal displacement of distal radius
Excludes
- Smith's fracture
Clinical Validation Requirements
- X-ray showing dorsal displacement of distal radius
Coding Notes
Document the direction of displacement clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Periprosthetic fracture around internal prosthetic joint
M97.24Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Wrist Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.501A.
Impact
Clinical: Inaccurate tracking of patient encounters, Regulatory: Non-compliance with ICD-10 coding standards, Financial: Potential claim denials
Mitigation Strategy
Use coding software prompts for 7th character, Educate staff on encounter-specific coding
Impact
Reimbursement: Potential underpayment due to lack of specificity, Compliance: Increased audit risk for unspecified coding, Data Quality: Decreased accuracy in clinical data
Mitigation Strategy
Ensure fracture type (e.g., Colles', Smith's) is documented
Impact
High audit risk due to lack of specificity
Mitigation Strategy
Ensure detailed documentation of fracture type and displacement
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 Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Wrist Fracture
Use these documentation templates to ensure complete and accurate documentation for Right Wrist Fracture. These templates include all required elements for proper coding and billing.
Post-operative documentation for ORIF
Specialty: OrthopedicsRequired Elements
- Patient-reported outcomes
- Incision status
- Imaging results
- Range of motion
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right Wrist Fracture? Ask your questions below.