ICD-10 Coding for Foot Fracture(S92.332A, M84.372A)
Complete ICD-10-CM coding and documentation guide for Foot Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Foot Fracture
S92.0-S92.9Primary Range
Fractures of the foot, except for the ankle
This range covers all traumatic fractures of the foot bones, excluding the ankle.
Stress fractures
This range is used for stress fractures, which are common in the foot due to repetitive stress.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S92.332A | Displaced fracture of third metatarsal bone, left foot, initial encounter for closed fracture | Use for initial encounters of displaced fractures of the third metatarsal. |
|
| M84.372A | Stress fracture, left foot, initial encounter | Use for initial encounters of stress fractures confirmed by 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 foot fracture
Essential facts and insights about Foot Fracture
Primary ICD-10-CM Codes for foot fracture
Decision Criteria
clinical Criteria
- Presence of acute trauma and radiological evidence of fracture
documentation Criteria
- Detailed documentation of fracture type and location
Applicable To
- Displaced fracture of third metatarsal
Excludes
- Stress fracture of third metatarsal
Clinical Validation Requirements
- X-ray confirmation of fracture
- Clinical examination indicating displacement
Code-Specific Risks
- Incorrect laterality documentation
- Missing displacement status
Coding Notes
- Ensure documentation specifies laterality and displacement.
M84.372A - Stress fracture, left foot, initial encounter
Use for initial encounters of stress fractures confirmed by imaging.
Applicable To
- Stress fracture of metatarsal
Excludes
- Traumatic fracture of metatarsal
Clinical Validation Requirements
- MRI showing bone marrow edema
- Patient history of repetitive stress activities
Coding Notes
Ensure differentiation between stress and traumatic fractures.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for other orthopedic aftercare
Z47.89Differential 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 Foot Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S92.332A.
Impact
Clinical: Impacts treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use specific anatomical terms, Include imaging findings in documentation
Impact
Reimbursement: Denial of claims due to incorrect coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate patient records
Mitigation Strategy
Use 'S' only when a new condition results from the fracture.
Impact
Reimbursement: Potential claim denials, Compliance: Failure to meet coding standards, Data Quality: Incomplete medical records
Mitigation Strategy
Always document and code the specific side of the fracture.
Impact
Failure to document laterality can lead to audit issues.
Mitigation Strategy
Implement checks to ensure laterality is documented in all cases.
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 Foot Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Foot Fracture
Use these documentation templates to ensure complete and accurate documentation for Foot Fracture. These templates include all required elements for proper coding and billing.
Initial Encounter for Foot Fracture
Specialty: OrthopedicsRequired Elements
- Patient history
- Mechanism of injury
- Imaging results
- Fracture type and location
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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