ICD-10 Coding for Distal Radial Fracture(M97.42X, S52.501A, S52.501S)
Learn about the ICD-10 codes for distal radial fractures, including documentation requirements and coding tips for accurate billing.
Complete code families applicable to Distal Radial Fracture
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S52.501A | Unspecified fracture of the lower end of right radius, initial encounter for closed fracture | Use for initial encounter when the fracture type is unspecified and involves the right distal radius. |
|
| S52.502A | Unspecified fracture of the lower end of left radius, initial encounter for closed fracture | Use for initial encounter when the fracture type is unspecified and involves the left distal radius. |
|
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
Essential facts and insights aboutDistal Radial Fracture
Alternative codes to consider when ruling out similar conditions
Use when the fracture involves the left distal radius.
Use when the fracture involves the right distal radius.
Documentation & Coding Risks
Avoid these common issues when documenting Distal Radial Fracture.
Using unspecified codes when specific fracture types are known
Impact
Clinical: Leads to less precise clinical data., Regulatory: May not meet coding compliance standards., Financial: Potential for reduced reimbursement.
Mitigation
Ensure detailed fracture type is documented., Use specific codes when available.
Not specifying the number of fragments in intra-articular fractures
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation
Document the exact number of fragments fixated during surgery.
Fragment count documentation
Impact
Failure to document the number of fragments can lead to incorrect coding and audits.
Mitigation
Implement standardized templates that prompt for fragment count.
Frequently Asked Questions
Primary Code
Unspecified fracture of the lower end of right radius, initial encounter for closed fracture