ICD-10 Coding for Left Calcaneal Fracture(S92.002A)
Complete ICD-10-CM coding and documentation guide for Left Calcaneal Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Calcaneal Fracture
S92.00-S92.09Primary Range
Fractures of calcaneus
This range includes all fractures of the calcaneus, specifying laterality and encounter type.
Key Information: ICD-10 code for left calcaneal fracture
Essential facts and insights about Left Calcaneal Fracture
Primary ICD-10-CM Code for left calcaneal fracture
Decision Criteria
clinical Criteria
- Confirmed closed fracture of left calcaneus via imaging
documentation Criteria
- Documented as initial encounter
Applicable To
- Closed fracture of left calcaneus
Excludes
- Open fracture of left calcaneus
Clinical Validation Requirements
- Imaging confirmation (XR/CT) of fracture line in calcaneal body
Code-Specific Risks
- Ensure laterality and encounter type are documented.
Coding Notes
- Ensure documentation specifies closed fracture and initial encounter.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pathological fracture, left ankle and foot, initial encounter
M84.371ADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Displaced fracture of calcaneus, sequela
S92.012SDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Calcaneal Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S92.002A.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document encounter type in clinical notes.
Impact
Reimbursement: Incorrect DRG assignment may occur., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Verify and document the correct laterality from imaging reports.
Impact
Using the wrong 7th character for encounter type.
Mitigation Strategy
Educate staff on encounter type 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 Left Calcaneal Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Calcaneal Fracture
Use these documentation templates to ensure complete and accurate documentation for Left Calcaneal Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for left calcaneal fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Neurovascular status
- Imaging results
- Fracture type and laterality
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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