ICD-10 Coding for Left Radius Fracture(S52.502A, S52.522A)
Complete ICD-10-CM coding and documentation guide for Left Radius Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Radius Fracture
S52.5-S52.6Primary Range
Fractures of the radius
This range includes all types of radius fractures, specifying laterality and fracture type.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S52.502A | Unspecified fracture of lower end of left radius, initial encounter | Use when the specific type of fracture is not documented. |
|
| S52.522A | Torus fracture of lower end of left radius, initial encounter | Use when X-ray confirms a torus fracture. |
|
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 left radius fracture
Essential facts and insights about Left Radius Fracture
Primary ICD-10-CM Codes for left radius fracture
Decision Criteria
documentation Criteria
- Document fracture type and encounter type clearly.
Applicable To
- Closed fracture of lower end of left radius
Excludes
- Open fracture of lower end of left radius
Clinical Validation Requirements
- X-ray confirmation of fracture
- Clinical documentation of fracture site and encounter type
Code-Specific Risks
- Risk of under-coding if fracture type is not specified
Coding Notes
- Ensure laterality and encounter type are documented.
S52.522A - Torus fracture of lower end of left radius, initial encounter
Use when X-ray confirms a torus fracture.
Applicable To
- Buckle fracture of lower end of left radius
Excludes
- Greenstick fracture of lower end of left radius
Clinical Validation Requirements
- X-ray showing buckle fracture
- Clinical documentation of fracture type and encounter type
Coding Notes
Ensure fracture type is confirmed by imaging.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Left Radius Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S52.502A.
Impact
Clinical: Misrepresentation of patient care timeline., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Verify encounter type before coding., Educate staff on encounter type definitions.
Impact
Reimbursement: Claims may be denied or reimbursed at a lower rate., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data and reporting.
Mitigation Strategy
Always document and code the specific side of the fracture.
Impact
Inadequate documentation of fracture specifics can lead to audit failures.
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 Left Radius Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Radius Fracture
Use these documentation templates to ensure complete and accurate documentation for Left Radius Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for left radius fracture
Specialty: OrthopedicsRequired Elements
- Fracture type
- Encounter type
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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