ICD-10 Coding for Talonavicular Ankle Sprain Avulsion(S93.41-, S92.14-)
Complete ICD-10-CM coding and documentation guide for Talonavicular Ankle Sprain Avulsion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Talonavicular Ankle Sprain Avulsion
S93.4-S93.49Primary Range
Sprain of ankle and foot
Covers sprains of the ankle, including talonavicular ligament involvement.
Fracture of talus and navicular
Used for coding avulsion fractures associated with talonavicular sprains.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S93.41- | Sprain of ankle, right | Use when the sprain involves the talonavicular ligament on the right ankle. |
|
| S92.14- | Fracture of talus, avulsion | Use when there is an avulsion fracture of the talus associated with the sprain. |
|
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 talonavicular ankle sprain avulsion
Essential facts and insights about Talonavicular Ankle Sprain Avulsion
Primary ICD-10-CM Codes for talonavicular ankle sprain avulsion
Decision Criteria
clinical Criteria
- Presence of talonavicular ligament sprain confirmed by imaging.
Applicable To
- Sprain of talonavicular ligament
Excludes
- Fracture of talus or navicular
Clinical Validation Requirements
- Positive anterior drawer test
- Imaging showing ligament involvement
Code-Specific Risks
- Incorrect laterality
- Missing 7th character
Coding Notes
- Ensure to document the specific ligament involved and any associated fractures.
S92.14- - Fracture of talus, avulsion
Use when there is an avulsion fracture of the talus associated with the sprain.
Applicable To
- Avulsion fracture of talar head
Excludes
- Sprain without fracture
Clinical Validation Requirements
- X-ray or MRI showing avulsion fracture
Coding Notes
Ensure to document the fracture site and confirm with imaging.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for other preprocedural examination
Z01.818Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Talonavicular Ankle Sprain Avulsion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S93.41-.
Impact
Clinical: Incomplete clinical picture., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Review imaging before finalizing codes, Cross-check documentation for completeness
Impact
Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate medical records.
Mitigation Strategy
Always append the appropriate 7th character (A, D, or S).
Impact
Failure to use the correct 7th character can lead to audit flags.
Mitigation Strategy
Educate coders on the importance of 7th character 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 Talonavicular Ankle Sprain Avulsion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Talonavicular Ankle Sprain Avulsion
Use these documentation templates to ensure complete and accurate documentation for Talonavicular Ankle Sprain Avulsion. These templates include all required elements for proper coding and billing.
Acute talonavicular sprain with avulsion fracture
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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