ICD-10 Coding for Inferior Pubic Rami Fracture(S32.59XA, S32.59XB)
Complete ICD-10-CM coding and documentation guide for Inferior Pubic Rami Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Inferior Pubic Rami Fracture
S32.5-S32.82Primary Range
Fractures of the pelvis
This range includes specific codes for fractures of the pubis, including the inferior pubic ramus.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S32.59XA | Other specified fracture of pubis, initial encounter for closed fracture | Use for initial encounter of a closed fracture of the inferior pubic ramus. |
|
| S32.59XB | Other specified fracture of pubis, initial encounter for open fracture | Use for initial encounter of an open fracture of the inferior pubic ramus. |
|
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 inferior pubic rami fracture
Essential facts and insights about Inferior Pubic Rami Fracture
Primary ICD-10-CM Codes for inferior pubic rami fracture
Decision Criteria
clinical Criteria
- Imaging confirms fracture of the inferior pubic ramus.
documentation Criteria
- Documentation specifies closed fracture.
Applicable To
- Closed fracture of inferior pubic ramus
Excludes
- Fracture of ischium (S32.6-)
Clinical Validation Requirements
- Imaging confirming fracture of the inferior pubic ramus
- Documentation of closed fracture status
Code-Specific Risks
- Confusion with ischium fracture codes
Coding Notes
- Ensure documentation specifies 'closed' and 'inferior pubic ramus'.
S32.59XB - Other specified fracture of pubis, initial encounter for open fracture
Use for initial encounter of an open fracture of the inferior pubic ramus.
Applicable To
- Open fracture of inferior pubic ramus
Excludes
- Fracture of ischium (S32.6-)
Clinical Validation Requirements
- Imaging confirming fracture of the inferior pubic ramus
- Documentation of open fracture status
Coding Notes
Ensure documentation specifies 'open' and 'inferior pubic ramus'.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Fracture of ischium
S32.6-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Inferior Pubic Rami Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.59XA.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or incorrect reimbursement.
Mitigation Strategy
Use specific anatomical terms., Ensure imaging supports documentation.
Impact
Reimbursement: Incorrect coding can lead to denied claims or incorrect DRG assignment., Compliance: Misclassification of fractures can lead to compliance issues., Data Quality: Impacts the accuracy of clinical data and statistics.
Mitigation Strategy
Use S32.59- codes for pubic ramus fractures unless imaging confirms ischial involvement.
Impact
Risk of incorrect coding due to vague documentation.
Mitigation Strategy
Ensure detailed documentation and imaging correlation.
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 Inferior Pubic Rami Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Inferior Pubic Rami Fracture
Use these documentation templates to ensure complete and accurate documentation for Inferior Pubic Rami Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for inferior pubic ramus fracture
Specialty: OrthopedicsRequired Elements
- Fracture location
- Open vs. closed status
- Imaging results
- Associated injuries
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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