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S62.90XA
ICD-10-CM
Hand Fracture

Find information on hand fracture diagnosis, including clinical documentation, medical coding, ICD-10 codes, CPT codes, and healthcare guidelines. Learn about different types of hand fractures, such as distal radius fracture, scaphoid fracture, metacarpal fracture, and phalangeal fracture. This resource provides details on diagnosis codes, treatment protocols, and documentation best practices for hand fractures in a clinical setting. Explore relevant information for physicians, coders, and other healthcare professionals.

Also known as

Fracture of the Hand
Broken Hand

Diagnosis Snapshot

Key Facts
  • Definition : A break in one or more of the bones in the hand.
  • Clinical Signs : Pain, swelling, bruising, deformity, limited movement, tenderness to touch.
  • Common Settings : Emergency room, urgent care clinic, orthopedist office.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S62.90XA Coding
S62

Fractures of hand and fingers

Encompasses fractures of carpal bones, metacarpals, and phalanges.

S60-S69

Injuries to the wrist, hand and fingers

Includes various injuries like sprains, strains, dislocations, and fractures.

S00-T98

Injury, poisoning and certain other consequences of external causes

Broad category covering injuries from various external causes, including fractures.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the fracture open or closed?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Hand Fracture
Metacarpal Fracture
Phalangeal Fracture

Documentation Best Practices

Documentation Checklist
  • Hand fracture documentation: laterality, location, type
  • ICD-10 codes for hand fracture: S62, S60-S69
  • Document mechanism of injury (MOI) for hand fracture
  • Physical exam: deformity, tenderness, swelling, ROM
  • Imaging: X-ray, CT, MRI findings of fracture

Coding and Audit Risks

Common Risks
  • Laterality Coding Errors

    Missing or incorrect laterality (right, left, unspecified) for hand fracture diagnosis codes leads to claim rejections and inaccurate data.

  • Specificity of Fracture

    Lack of documentation specifying the exact bone fractured (e.g., metacarpal, phalanx) causes coding ambiguity and potential downcoding.

  • Traumatic vs. Pathologic

    Failure to distinguish between traumatic fractures and those due to underlying conditions (e.g., osteoporosis) impacts severity and reimbursement.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (S62, S52, S60) for hand fractures ensures proper billing.
  • Detailed fracture documentation supports correct CPT code selection for procedures.
  • Timely CDI review of hand fracture diagnoses improves claim accuracy and reduces denials.
  • Compliance with payer-specific guidelines for hand fracture care ensures prompt reimbursement.
  • Clear documentation of fracture location and type (open/closed) streamlines coding and billing.

Clinical Decision Support

Checklist
  • Mechanism of injury documented (ICD-10 S62)
  • Physical exam: Deformity, tenderness, edema noted
  • Imaging: X-ray of affected hand obtained and reviewed
  • Neurovascular status assessment documented

Reimbursement and Quality Metrics

Impact Summary
  • Hand Fracture Reimbursement: Coding accuracy impacts payer contract negotiation, influencing overall revenue cycle management.
  • Quality Metrics Impact: Accurate fracture documentation affects publicly reported quality measures, influencing hospital ratings.
  • Coding Accuracy: Correct ICD-10 and CPT coding maximizes hand fracture reimbursement, minimizing claim denials.
  • Hospital Reporting: Accurate hand fracture data impacts internal quality improvement initiatives and resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code specific bone, location
  • Document fracture type
  • ICD-10 S02 for hand fx
  • Laterality: Left/Right hand
  • X-ray confirmation crucial

Documentation Templates

Patient presents with complaints of hand pain and swelling following a fall onto an outstretched hand.  Onset of symptoms occurred approximately two hours prior to presentation.  Patient reports localized pain, tenderness, and limited range of motion in the affected hand.  Physical examination reveals edema, ecchymosis, and point tenderness over the dorsal aspect of the right hand.  Deformity suggestive of a possible metacarpal fracture is noted.  Neurovascular assessment reveals intact sensation and capillary refill in the digits.  Radiographic imaging of the right hand was ordered and confirms a closed, displaced fracture of the fifth metacarpal, consistent with a boxer's fracture.  Diagnosis of hand fracture, fifth metacarpal, closed, displaced is confirmed.  Treatment plan includes closed reduction and immobilization with an ulnar gutter splint.  Patient education provided regarding pain management, splint care, and follow-up appointments.  Patient advised to follow up with orthopedics within one week for repeat radiographs and further management.  ICD-10 code S62.131A, right hand fifth metacarpal fracture, closed, displaced.  CPT codes 26600 for closed treatment of metacarpal fracture without manipulation, and 29075 for application of splint.  Patient tolerated the procedure well and was discharged in stable condition with instructions for pain management and follow-up care.
Hand Fracture - AI-Powered ICD-10 Documentation