ICD-10 Coding for Fractured Right Ankle(S82.61XA)
Complete ICD-10-CM coding and documentation guide for Fractured Right Ankle. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fractured Right Ankle
S82.60-S82.69Primary Range
Fracture of lower leg, including ankle
This range includes specific codes for fractures of the ankle, such as lateral malleolus, medial malleolus, and bimalleolar fractures.
Key Information: ICD-10 code for fractured right ankle
Essential facts and insights about Fractured Right Ankle
Primary ICD-10-CM Code for fractured right ankle
Decision Criteria
clinical Criteria
- Confirmed fracture on imaging with clinical symptoms
documentation Criteria
- Detailed description of fracture type and encounter
Applicable To
- Displaced fracture of lateral malleolus
Excludes
- Stress fracture of ankle
Clinical Validation Requirements
- X-ray confirmation of fracture
- Clinical examination showing swelling and tenderness
Code-Specific Risks
- Incorrectly coding as non-displaced
- Missing documentation of displacement
Coding Notes
- Ensure documentation specifies the type of fracture and encounter type.
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.
Sprain of unspecified ligament of right ankle, initial encounter
S93.401ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fractured Right Ankle to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.61XA.
Impact
Clinical: May lead to inappropriate follow-up care., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Train staff on encounter type documentation., Use templates that prompt for encounter type.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Always document and code whether the fracture is displaced or non-displaced.
Impact
Risk of audits due to missing details on fracture type and encounter.
Mitigation Strategy
Implement thorough documentation practices and regular audits.
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 Fractured Right Ankle, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fractured Right Ankle
Use these documentation templates to ensure complete and accurate documentation for Fractured Right Ankle. These templates include all required elements for proper coding and billing.
Initial ED Visit for Ankle Fracture
Specialty: Emergency MedicineRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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