ICD-10 Coding for Finger Fracture(S62.610A)
Complete ICD-10-CM coding and documentation guide for Finger Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Finger Fracture
S62.5-S62.6Primary Range
Fractures of the phalanx of the finger
This range includes all fractures related to the phalanges of the fingers, specifying laterality and encounter type.
Key Information: ICD-10 code for finger fracture
Essential facts and insights about Finger Fracture
Primary ICD-10-CM Code for finger fracture
Decision Criteria
clinical Criteria
- Confirmed displacement on imaging
documentation Criteria
- Detailed encounter type and laterality
Applicable To
- Displaced fracture of proximal phalanx, right index finger
Excludes
- Fracture of thumb (S62.5-)
Clinical Validation Requirements
- X-ray confirming displacement
- Documentation of closed fracture
Code-Specific Risks
- Omitting the 7th character for encounter type
Coding Notes
- Ensure documentation specifies laterality and encounter type.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Contact with sharp glass, initial encounter
W23.0xxADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Displaced fracture of proximal phalanx of left index finger, initial encounter for closed fracture
S62.611ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Finger Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S62.610A.
Impact
Clinical: Potential for incorrect treatment, Regulatory: Non-compliance with coding standards, Financial: Denied claims due to incomplete coding
Mitigation Strategy
Always document the side of the body affected, Use templates that prompt for laterality
Impact
Reimbursement: Claims may be denied or delayed., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate medical records affecting patient care.
Mitigation Strategy
Always include the appropriate 7th character to indicate the encounter type (e.g., A for initial).
Impact
Failure to document encounter type and laterality can lead to audit flags.
Mitigation Strategy
Use standardized templates and checklists to ensure complete documentation.
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 Finger Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Finger Fracture
Use these documentation templates to ensure complete and accurate documentation for Finger Fracture. These templates include all required elements for proper coding and billing.
Initial Encounter for Finger Fracture
Specialty: OrthopedicsRequired Elements
- Patient history
- Mechanism of injury
- Imaging results
- Fracture details (location, displacement, open/closed)
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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