ICD-10 Coding for Distal Ulna Fracture(S52.611A)
Complete ICD-10-CM coding and documentation guide for Distal Ulna Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Distal Ulna Fracture
S52.6Primary Range
Fracture of ulna
Covers fractures of the distal ulna, including styloid and neck fractures.
Key Information: ICD-10 code for right distal ulna fracture
Essential facts and insights about Distal Ulna Fracture
Primary ICD-10-CM Code for distal ulna fracture
Decision Criteria
clinical Criteria
- Presence of fracture at the styloid process confirmed by imaging
documentation Criteria
- Documentation of laterality and fracture type
Applicable To
- Displaced fracture of ulnar styloid
Excludes
- Fracture of ulnar shaft (S52.4)
Clinical Validation Requirements
- Radiographic evidence of fracture at the styloid process
- Documentation of laterality and fracture type
Code-Specific Risks
- Incorrect laterality documentation
- Missing fracture type specification
Coding Notes
- Ensure documentation specifies the exact fracture location and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Distal radioulnar joint (DRUJ) instability
S63.01xADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Fracture of distal ulna, neck, right arm, initial encounter for closed fracture
S52.621ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Distal Ulna Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.611A.
Impact
Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or delays.
Mitigation Strategy
Standardize documentation templates to include laterality, Educate staff on importance of complete documentation
Impact
Reimbursement: Potential underpayment due to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify the fracture location and use the appropriate distal ulna code.
Impact
Inadequate documentation of fracture location can lead to incorrect coding.
Mitigation Strategy
Implement mandatory fields in EHR for fracture location and laterality.
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 Distal Ulna Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Distal Ulna Fracture
Use these documentation templates to ensure complete and accurate documentation for Distal Ulna Fracture. These templates include all required elements for proper coding and billing.
Emergency Department Evaluation
Specialty: OrthopedicsRequired Elements
- Patient history of injury
- Physical examination findings
- Radiographic findings
- Assessment of DRUJ stability
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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