ICD-10 Coding for Sternal Fracture(S22.2, Y65.81)
Complete ICD-10-CM coding and documentation guide for Sternal Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sternal Fracture
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S22.2 | Fracture of sternum | Use for traumatic sternal fractures with confirmed mechanism. |
|
| Y65.81 | Surgical complication from CPR | Use for fractures directly resulting from CPR. |
|
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 sternal fracture
Essential facts and insights about Sternal Fracture
Primary ICD-10-CM Codes for sternal fracture
Decision Criteria
clinical Criteria
- Confirmed traumatic mechanism
coding Criteria
- Use with appropriate external cause code
Applicable To
- Traumatic fracture of sternum
Excludes
- Pathological fracture of sternum
Clinical Validation Requirements
- Documented traumatic mechanism
- Imaging confirming fracture
Code-Specific Risks
- Incorrect use for CPR-related fractures
Coding Notes
- Ensure mechanism of injury is documented.
Y65.81 - Surgical complication from CPR
Use for fractures directly resulting from CPR.
Applicable To
- Fracture due to CPR
Excludes
- Traumatic fracture of sternum
Clinical Validation Requirements
- Documented CPR event
- Fracture confirmed post-CPR
Coding Notes
Do not use with S22.2 for CPR-related fractures.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Traumatic pneumothorax
S27.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Sternal Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S22.2.
Impact
Clinical: Inadequate treatment planning, Regulatory: Non-compliance with coding guidelines, Financial: Potential reimbursement issues
Mitigation Strategy
Always document mechanism in detail, Use templates to ensure completeness
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Potential audit trigger, Data Quality: Inaccurate clinical data
Mitigation Strategy
Use Y65.81 for fractures caused by CPR.
Impact
Failure to sequence codes correctly can lead to audits.
Mitigation Strategy
Use coding guidelines to ensure proper sequencing.
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 Sternal Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sternal Fracture
Use these documentation templates to ensure complete and accurate documentation for Sternal Fracture. These templates include all required elements for proper coding and billing.
Emergency Department Evaluation
Specialty: Emergency MedicineRequired Elements
- Mechanism of injury
- Fracture displacement
- Associated injuries
- Initial treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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