ICD-10 Coding for Inferior Pubic Ramus Fracture(S32.59XA, S32.82XA)
Complete ICD-10-CM coding and documentation guide for Inferior Pubic Ramus 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 Ramus Fracture
S32.5-S32.8Primary Range
Fractures of pelvis
This range includes codes for fractures of the pubis, ischium, and other pelvic bones, relevant for coding inferior pubic ramus fractures.
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 | Use for isolated inferior pubic ramus fractures without pelvic ring disruption. |
|
| S32.82XA | Multiple fractures of pelvis without disruption of pelvic ring, initial encounter | Use when there are multiple fractures including the inferior pubic ramus without pelvic ring disruption. |
|
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 ramus fracture
Essential facts and insights about Inferior Pubic Ramus Fracture
Primary ICD-10-CM Codes for inferior pubic ramus fracture
Decision Criteria
clinical Criteria
- Confirmed fracture of inferior pubic ramus on imaging
documentation Criteria
- Documentation specifies laterality and fracture type (open/closed, displaced/nondisplaced)
Applicable To
- Inferior pubic ramus fracture
Excludes
- Ischium fracture (S32.6-)
Clinical Validation Requirements
- X-ray or CT confirming fracture line in inferior ramus without extension to acetabulum/ischium
Code-Specific Risks
- Confusing with ischium fractures
- Missing laterality
Coding Notes
- Ensure documentation specifies 'inferior pubic ramus' and laterality.
S32.82XA - Multiple fractures of pelvis without disruption of pelvic ring, initial encounter
Use when there are multiple fractures including the inferior pubic ramus without pelvic ring disruption.
Applicable To
- Multiple pelvic fractures without ring disruption
Excludes
- Pelvic ring disruption (S32.84XA)
Clinical Validation Requirements
- Imaging showing multiple pelvic fractures without rotational/vertical instability
Coding Notes
Ensure documentation includes all involved fractures and confirms no pelvic ring instability.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Multiple fractures of pelvis without disruption of pelvic ring, initial encounter
S32.82XADifferential 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 Inferior Pubic Ramus 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: Ambiguity in patient records, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always document the side of the body affected., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify anatomical location on imaging and documentation.
Impact
Coding pelvic fractures without confirming ring disruption can lead to audit issues.
Mitigation Strategy
Ensure thorough review of imaging and 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 Inferior Pubic Ramus Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Inferior Pubic Ramus Fracture
Use these documentation templates to ensure complete and accurate documentation for Inferior Pubic Ramus Fracture. These templates include all required elements for proper coding and billing.
Isolated Inferior Pubic Ramus Fracture
Specialty: Emergency MedicineRequired Elements
- Patient presentation
- Imaging results
- Fracture specifics (location, laterality, type)
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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