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ICD-10 Coding for Left Pubic Ramus Fracture(S32.592A)

Complete ICD-10-CM coding and documentation guide for Left Pubic Ramus Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Fracture of Left Inferior Pubic RamusLeft Superior Pubic Ramus Fracture

Related ICD-10 Code Ranges

Complete code families applicable to Left Pubic Ramus Fracture

S32.5XXPrimary Range

Fracture of pubis

This range includes codes for fractures of the pubis, specifically addressing the left pubic ramus.

Fracture of ischium

This range is relevant for differential diagnosis, as the inferior pubic ramus is often confused with the ischium.

Key Information: ICD-10 code for left pubic ramus fracture

Essential facts and insights about Left Pubic Ramus Fracture

The ICD-10 code for a left pubic ramus fracture is S32.592A, applicable for initial encounters.

Primary ICD-10-CM Code for left pubic ramus fracture

Other specified fracture of left pubis, initial encounter for closed fracture
Billable Code

Decision Criteria

clinical Criteria

  • CT or MRI confirms fracture of left pubic ramus.

documentation Criteria

  • Documentation includes laterality and encounter type.

Applicable To

  • Fracture of left inferior pubic ramus
  • Fracture of left superior pubic ramus

Excludes

Clinical Validation Requirements

  • CT or MRI confirming fracture location
  • Documentation of laterality and encounter type

Code-Specific Risks

  • Confusion with ischium fractures
  • Omission of laterality

Coding Notes

  • Ensure documentation specifies the exact location and laterality of the fracture.

Ancillary Codes

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

Personal history of (healed) fracture

Z87.81
Use for subsequent encounters to indicate history of fracture.

External cause codes for falls

W00-W19
Use to specify the cause of the fracture, such as a fall.

Differential Codes

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

Fracture of ischium

S32.6XXA
Inferior pubic ramus is part of the pubis, not the ischium.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Left Pubic Ramus Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.592A.

Impact

Clinical: Leads to incomplete patient records., Regulatory: Non-compliance with ICD-10 requirements., Financial: Potential claim denials.

Mitigation Strategy

Always specify left or right in documentation., Use templates to ensure completeness.

Impact

Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.

Mitigation Strategy

Verify anatomical location via imaging and documentation.

Impact

Choosing ischium codes for pubic ramus fractures.

Mitigation Strategy

Regular training on anatomical differences and coding guidelines.

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 Pubic Ramus Fracture, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Left Pubic Ramus Fracture

Use these documentation templates to ensure complete and accurate documentation for Left Pubic Ramus Fracture. These templates include all required elements for proper coding and billing.

Initial encounter for left inferior pubic ramus fracture

Specialty: Orthopedics

Required Elements

  • Patient history
  • Imaging results
  • Fracture specifics (location, laterality, type)

Examples: Poor vs. Good Documentation

Poor Documentation Example
Left pelvic fracture.
Good Documentation Example
Displaced closed fracture of left inferior pubic ramus, confirmed by CT, initial encounter following fall from standing height.
Explanation
The good example provides specific location, laterality, and encounter type, which are essential for accurate coding.

Need help with ICD-10 coding for Left Pubic Ramus Fracture? Ask your questions below.

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