ICD-10 Coding for Right Acetabular Fracture(S32.401A, S32.421A)
Complete ICD-10-CM coding and documentation guide for Right Acetabular Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Acetabular Fracture
S32.4Primary Range
Fracture of acetabulum
This range includes all codes related to fractures of the acetabulum, specifying laterality and encounter 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 |
|---|---|---|---|
| S32.401A | Unspecified fracture of right acetabulum, initial encounter for closed fracture | Use when the fracture specifics are not detailed beyond laterality and encounter type. |
|
| S32.421A | Displaced fracture of posterior wall of right acetabulum, initial encounter for closed fracture | Use when imaging confirms a displaced fracture of the posterior wall of the right acetabulum. |
|
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 right acetabular fracture
Essential facts and insights about Right Acetabular Fracture
Primary ICD-10-CM Codes for right acetabular fracture
Decision Criteria
documentation Criteria
- Documentation must include laterality and encounter type.
Applicable To
- Unspecified right acetabular fracture
Excludes
- Fracture of femoral neck (S72.0-)
Clinical Validation Requirements
- Imaging confirming acetabular fracture
- Documentation of laterality and encounter type
Code-Specific Risks
- Risk of under-documentation leading to unspecified coding
Coding Notes
- Ensure documentation specifies laterality and encounter type to avoid unspecified coding.
S32.421A - Displaced fracture of posterior wall of right acetabulum, initial encounter for closed fracture
Use when imaging confirms a displaced fracture of the posterior wall of the right acetabulum.
Applicable To
- Displaced posterior wall fracture of right acetabulum
Excludes
- Fracture of femoral neck (S72.0-)
Clinical Validation Requirements
- CT scan confirming displaced posterior wall fracture
- Documentation of displacement and encounter type
Coding Notes
Ensure documentation specifies displacement and fracture location.
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.
Fracture of neck of femur, initial encounter
S32.0XXADisplaced fracture of anterior column of right acetabulum, initial encounter for closed fracture
S32.431ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Acetabular Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.401A.
Impact
Clinical: May lead to incorrect treatment planning., Regulatory: Increases risk of audit discrepancies., Financial: Can result in reduced reimbursement due to unspecified coding.
Mitigation Strategy
Always document the side of the body affected by the fracture.
Impact
Reimbursement: Incorrect coding may lead to incorrect DRG assignment and reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data and statistics.
Mitigation Strategy
Verify imaging confirms acetabular involvement, not femoral neck.
Impact
Using unspecified codes increases audit risk and may lead to reimbursement issues.
Mitigation Strategy
Ensure detailed documentation to support specific code selection.
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 Right Acetabular Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Acetabular Fracture
Use these documentation templates to ensure complete and accurate documentation for Right Acetabular Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for right acetabular fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Imaging findings
- Neurovascular status
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right Acetabular Fracture? Ask your questions below.