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ICD-10 Coding for Football Injury(S82.201A, Y93.61)

Complete ICD-10-CM coding and documentation guide for Football Injury. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Tackle Football InjuryFootball Game Injury

Related ICD-10 Code Ranges

Complete code families applicable to Football Injury

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

This range includes codes for injuries sustained during football activities, such as fractures, sprains, and concussions.

Activity, tackle football

This code is used to specify the activity context of the injury, indicating it occurred during tackle football.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S82.201AFracture of upper end of right tibia, initial encounterUse for initial encounter of a closed fracture of the right tibia during football.
  • X-ray confirmation of fracture
  • Clinical examination notes
Y93.61Activity, tackle footballUse whenever an injury occurs during organized tackle football.
  • Documentation of organized football activity

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 football injury

Essential facts and insights about Football Injury

The ICD-10 code for a football injury varies by type, such as S82.201A for a right tibia fracture, with Y93.61 for activity context.

Primary ICD-10-CM Codes for football

Fracture of upper end of right tibia, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed fracture via imaging

documentation Criteria

  • Detailed description of injury mechanism and context

Applicable To

  • Closed fracture of right tibia

Excludes

  • Open fracture of right tibia

Clinical Validation Requirements

  • X-ray confirmation of fracture
  • Clinical examination notes

Code-Specific Risks

  • Incorrect laterality
  • Missing encounter type

Coding Notes

  • Ensure laterality and encounter type are documented.

Ancillary Codes

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

Activity, tackle football

Y93.61
Use to specify the activity context for the injury.

Differential Codes

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

Fracture of upper end of left tibia, initial encounter

S82.202A
Differentiate based on laterality (right vs. left).

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Football Injury to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.201A.

Impact

Clinical: Lack of specificity can affect treatment decisions., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for claim denials.

Mitigation Strategy

Always specify laterality and encounter type., Use activity codes to provide context.

Impact

Reimbursement: May lead to reduced reimbursement or claim denial., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on injury circumstances.

Mitigation Strategy

Always include Y93.61 to specify the activity context.

Impact

Failure to include Y93.61 can trigger audits.

Mitigation Strategy

Implement checks to ensure activity codes are included.

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 Football Injury, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Football Injury

Use these documentation templates to ensure complete and accurate documentation for Football Injury. These templates include all required elements for proper coding and billing.

Initial encounter for a football-related fracture

Specialty: Orthopedics

Required Elements

  • Patient demographics
  • Detailed injury description
  • Imaging results
  • Activity context

Example Documentation

Patient is a 16-year-old male who sustained a closed fracture of the right tibia during a high school football game. X-ray confirms fracture.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Fracture from football.
Good Documentation Example
Closed fracture of right tibia during tackle football game, confirmed by X-ray.
Explanation
The good example provides specific details about the injury, including laterality and context.

Need help with ICD-10 coding for Football Injury? Ask your questions below.

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