If a patient with a history of bilateral hip replacement and comes to a physician for a traumatic periprosthetic fracture of the lower end of the right femur, then this scenario should be reported as below. Subcategory M97.8 – “other” sites of periprosthetic fractures These fractures are more commonly seen in boys 4 and are the most common elbow fractures in children (55-80) 8. Below are few examples of Periprosthetic codes for different joints. Simple supracondylar fractures are typically seen in younger children, and are uncommon in adults 90 are seen in children younger than 10 years of age, with a peak age of 5-7 years 4,6. Also, the fracture diagnosis codes should have 7 th character to indicate the initial encounter (A), subsequent encounter (D) or Sequela(S). Since, all these are fracture codes, each of these codes requires to be specific with laterality for joints. Detailed description of mechanism and circumstances of injury. The Periprosthetic fractures occur around any prosthesis. 412A is a billable ICD-10 code used to specify a medical diagnosis of displaced simple supracondylar fracture without intercondylar fracture of left humerus. So, next time if you come across a Periprosthetic fracture as reason for admission/encounter, then assign the specific type of fracture (traumatic or pathological) as primary diagnosis and the periprosthetic fracture code should be sequenced as a secondary diagnosis code. Supracondylar fractures are the most common type of upper arm injury in. Hence to code periprosthetic fracture, we have to use two ICD 10 codes, one for the underlying condition and other for the specific type of fracture (traumatic or pathological) A supracondylar fracture is an injury to the humerus, or upper arm bone, at its narrowest point, just above the elbow. Age-related osteoporosis with current pathological fracture, left humerus. Same way a Periprosthetic fracture occurs as a result of an injury or pathological conditions. Follow-Up Care Rendered in an Emergency Room Site of Service: ICD-10. Superb tips for coding Subsequent encounter in Fracture codingĪ fracture normally occurs from a trauma or an injury. Before we move ahead, let us first know more about fracture coding.Ĭoding guidelines for Initial, Subsequent Encounter and Sequela ICD 10 codeĬoding guide for Sequela Encounter ICD 10 codes S42.415A - Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, initial encounter for closed fracture S42. This category of codes are present in Chapter 13, Diseases of the musculoskeletal system and connective tissue.Įarlier the Periprosthetic fractures were classified in the complication section of codes of sub-category T84.04, Periprosthetic fracture around internal prosthetic joint. There is a set of category ( M97) codes used only for coding Periprosthetic fractures. Similarly, today we try to learn about coding Periprosthetic fractures. Earlier we have seen how we can code the non-traumatic or pathological fractures. S42.412D Displaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with routine healing. ICD-10-CM/PCS MS-DRG v34.There are different coding guidelines for coding all sort of fractures. All primary radiographs of the children were comprehensively re-reviewed to find out supracondylar humerus fractures (N 565). ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual The International Classification of Diseases (ICD) version 10 was used to identify all children aged <16 years with the diagnosis code S42.4 (N 861).
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