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ICD-10 Coding for Right Hand Contusion(S60.221A)

Complete ICD-10-CM coding and documentation guide for Right Hand Contusion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Right Hand BruiseRight Hand Hematoma

Related ICD-10 Code Ranges

Complete code families applicable to Right Hand Contusion

S60-S69Primary Range

Injuries to the wrist, hand and fingers

This range includes codes for injuries specific to the hand, including contusions.

Key Information: ICD-10 code for right hand contusion

Essential facts and insights about Right Hand Contusion

The ICD-10 code for a right hand contusion is S60.221A, applicable for initial encounters.

Primary ICD-10-CM Code for right hand contusion

Contusion of right hand, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Presence of swelling and tenderness in the hand with negative imaging for fractures.

documentation Criteria

  • Documentation must specify right hand and initial encounter.

Applicable To

  • Hematoma of right hand

Excludes

  • Contusion of finger(s) (S60.0-)

Clinical Validation Requirements

  • Physical exam showing swelling and tenderness
  • X-ray negative for fracture

Code-Specific Risks

  • Incorrectly coding finger contusions as hand contusions

Coding Notes

  • Ensure laterality and encounter type are documented.

Ancillary Codes

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

Striking against or struck by other objects, initial encounter

W22.02XA
Use to specify the external cause of the hand contusion.

Differential Codes

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

Contusion of finger(s)

S60.0-
Use when the contusion involves fingers rather than the hand.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Right Hand Contusion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S60.221A.

Impact

Clinical: Ambiguity in patient records., Regulatory: Potential non-compliance with coding standards., Financial: Delayed or denied claims.

Mitigation Strategy

Always include laterality in the diagnosis.

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 the specific location of the contusion and use S60.0- for fingers.

Impact

Using the wrong 7th character for encounter type.

Mitigation Strategy

Educate staff on the importance of 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 Right Hand Contusion, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Right Hand Contusion

Use these documentation templates to ensure complete and accurate documentation for Right Hand Contusion. These templates include all required elements for proper coding and billing.

Emergency Department Visit for Right Hand Contusion

Specialty: Emergency Medicine

Required Elements

  • Mechanism of injury
  • Location and severity of contusion
  • Imaging results
  • Treatment plan

Example Documentation

Patient presents with a contusion on the dorsal aspect of the right hand after a fall. X-ray negative for fracture. Plan includes ice, compression, and NSAIDs.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Right hand injury.
Good Documentation Example
Contusion on the dorsal right hand, no fracture on X-ray, initial encounter.
Explanation
The good example specifies the location, imaging results, and encounter type.

Need help with ICD-10 coding for Right Hand Contusion? Ask your questions below.

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