ICD-10 Coding for Superior Pubic Ramus Fracture(S32.511A, S32.512A, S32.519A)
Complete ICD-10-CM coding and documentation guide for Superior Pubic Ramus Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Superior Pubic Ramus 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 |
|---|---|---|---|
| S32.511A | Closed fracture of right superior pubic ramus, initial encounter | Use when the patient presents with a closed fracture of the right superior pubic ramus for the first time. |
|
| S32.512A | Closed fracture of left superior pubic ramus, initial encounter | Use when the patient presents with a closed fracture of the left superior pubic ramus for the first time. |
|
| S32.519A | Closed fracture of unspecified superior pubic ramus, initial encounter | Use only if laterality cannot be determined after imaging review. |
|
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 superior pubic ramus fracture
Essential facts and insights about Superior Pubic Ramus Fracture
Primary ICD-10-CM Codes for superior pubic ramus fracture
Decision Criteria
clinical Criteria
- Presence of a closed fracture confirmed by imaging
documentation Criteria
- Documentation specifies 'right superior pubic ramus' and 'initial encounter'
Applicable To
- Right superior pubic ramus fracture
Excludes
- Fracture of inferior pubic ramus
Clinical Validation Requirements
- Imaging confirmation (X-ray/CT)
- Documentation of 'closed fracture'
- Specification of 'initial encounter'
Code-Specific Risks
- Incorrect laterality documentation
- Omitting encounter type
Coding Notes
- Ensure laterality and encounter type are documented clearly.
S32.512A - Closed fracture of left superior pubic ramus, initial encounter
Use when the patient presents with a closed fracture of the left superior pubic ramus for the first time.
Applicable To
- Left superior pubic ramus fracture
Excludes
- Fracture of inferior pubic ramus
Clinical Validation Requirements
- Imaging confirmation (X-ray/CT)
- Documentation of 'closed fracture'
- Specification of 'initial encounter'
Coding Notes
Ensure laterality and encounter type are documented clearly.
S32.519A - Closed fracture of unspecified superior pubic ramus, initial encounter
Use only if laterality cannot be determined after imaging review.
Applicable To
- Unspecified superior pubic ramus fracture
Excludes
- Fracture of inferior pubic ramus
Clinical Validation Requirements
- Imaging confirmation (X-ray/CT)
- Documentation of 'closed fracture'
- Specification of 'initial encounter'
Coding Notes
Ensure laterality and encounter type are documented clearly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified fractures of pelvis
S32.8-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Fracture of pubis (non-superior ramus)
S32.3XXADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Superior Pubic Ramus Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S32.511A.
Impact
Clinical: Inaccurate patient records affecting continuity of care., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Use templates that prompt for encounter type, Educate staff on documentation standards
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Specify 'superior ramus' in documentation.
Impact
Reimbursement: Incorrect procedure coding can lead to claim denials., Compliance: Violation of CPT coding rules., Data Quality: Misrepresentation of clinical procedures performed.
Mitigation Strategy
Use E/M codes for anterior-only injuries.
Impact
Using unspecified codes when laterality is known.
Mitigation Strategy
Ensure imaging reports specify laterality.
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 Superior Pubic Ramus Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Superior Pubic Ramus Fracture
Use these documentation templates to ensure complete and accurate documentation for Superior Pubic Ramus Fracture. These templates include all required elements for proper coding and billing.
Elderly fall with isolated superior ramus fracture
Specialty: OrthopedicsRequired Elements
- Patient age and fall mechanism
- Imaging results
- Fracture location and type
- Encounter type
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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