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ICD-10 Coding for Right Hand Fracture(S62.335A)

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

Also known as:

Fracture of Right HandRight Hand Bone Fracture

Related ICD-10 Code Ranges

Complete code families applicable to Right Hand Fracture

S62.3-S62.6Primary Range

Fractures of the hand and wrist

This range includes specific codes for fractures of the metacarpals and phalanges of the right hand.

Key Information: ICD-10 code for right hand fracture

Essential facts and insights about Right Hand Fracture

The ICD-10 code for a displaced fracture of the fifth metacarpal bone, right hand, initial encounter is S62.335A.

Primary ICD-10-CM Code for right hand fracture

Displaced fracture of the fifth metacarpal bone, right hand, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Presence of a fracture confirmed by imaging

documentation Criteria

  • Detailed description of fracture including laterality and displacement

Applicable To

  • Boxer's fracture

Excludes

  • Fracture of wrist (S52.-)

Clinical Validation Requirements

  • X-ray confirmation of fracture
  • Clinical examination showing deformity

Code-Specific Risks

  • Incorrect laterality
  • Missing 7th character

Coding Notes

  • Ensure to document the type of encounter (initial, subsequent, sequela) using the 7th character.

Ancillary Codes

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

Striking against or struck by wall, initial encounter

W22.01xA
Use to describe the cause of the fracture if applicable.

Differential Codes

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

Fracture of lower end of radius

S52.5
Involves wrist rather than hand bones.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Right Hand Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S62.335A.

Impact

Clinical: Potential for incorrect treatment planning., Regulatory: Non-compliance with coding standards., Financial: Possible claim denials.

Mitigation Strategy

Always document the side of the body affected., Use templates that prompt for laterality.

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records and data reporting.

Mitigation Strategy

Always include the appropriate 7th character to indicate the encounter type.

Impact

Risk of audits due to missing fracture details.

Mitigation Strategy

Use comprehensive templates and checklists.

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

Documentation Templates for Right Hand Fracture

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

Emergency Department Visit

Specialty: Emergency Medicine

Required Elements

  • Mechanism of injury
  • Fracture location and type
  • Open vs. closed fracture
  • Displacement details

Example Documentation

Patient presents with a displaced fracture of the fifth metacarpal on the right hand after punching a wall. X-ray confirms fracture.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Right hand fracture.
Good Documentation Example
Displaced fracture of the fifth metacarpal bone, right hand, initial encounter.
Explanation
The good example provides specific details necessary for accurate coding and billing.

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

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