Facebook tracking pixel
S32.52XA
ICD-10-CM
Inferior Pubic Rami Fracture

Find information on Inferior Pubic Rami Fracture diagnosis, including clinical documentation tips, ICD-10 and CPT codes, healthcare billing guidelines, and relevant medical coding resources. Learn about pubic rami fracture symptoms, treatment options, and best practices for accurate medical record keeping related to pelvic fractures and fragility fractures. This resource helps healthcare professionals ensure proper coding and documentation for inferior pubic rami fractures.

Also known as

Inferior Pubic Ramus Fracture
Fracture of Inferior Pubic Ramus

Diagnosis Snapshot

Key Facts
  • Definition : Break in the lower part of the pelvis bone.
  • Clinical Signs : Groin pain, difficulty walking, tenderness to touch.
  • Common Settings : Falls, trauma, osteoporosis-related fragility fractures.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S32.52XA Coding
S32.4-

Fracture of inferior pubic ramus

Fracture of the lower part of the forward portion of the pelvic bone.

S32.-

Fracture of pelvis

Fractures involving the pelvic ring and acetabulum.

S30-S39

Injuries to the pelvis

Includes various injuries to the pelvic region, like contusions and fractures.

Code-Specific Guidance

Decision Tree for

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

Is the fracture displaced?

  • Yes

    Unilateral or bilateral?

  • No

    Unilateral or bilateral?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Inferior Pubic Rami Fracture
Superior Pubic Rami Fracture
Pelvic Ring Fracture

Documentation Best Practices

Documentation Checklist
  • Document mechanism of injury (e.g., fall, MVA)
  • Specify laterality (right, left, or bilateral)
  • Describe fracture type (e.g., displaced, comminuted)
  • Document associated injuries (e.g., pelvic ring disruption)
  • Note any neurovascular compromise

Coding and Audit Risks

Common Risks
  • Laterality Coding

    Missing or incorrect laterality (right, left, bilateral) for inferior pubic rami fracture impacts reimbursement and data accuracy. ICD-10-CM coding guidelines require laterality specification.

  • Displaced vs. Nondisplaced

    Distinguishing between displaced and nondisplaced fractures is crucial for accurate coding and proper treatment planning. Documentation must clearly specify the fracture type.

  • Unspecified Fracture Code

    Using unspecified fracture codes when documentation supports a more specific diagnosis leads to undercoding, lost revenue, and inaccurate data reporting. CDI can query for specificity.

Mitigation Tips

Best Practices
  • Document mechanism of injury for accurate ICD-10 coding (S32.4).
  • Ensure CDI of pelvic X-rays includes rami fracture specifics for S32.4- specificity.
  • Query provider for laterality (right/left/bilateral) to comply with coding guidelines.
  • Review documentation for associated soft tissue injuries for comprehensive coding.
  • Communicate fracture stability for optimal treatment planning and compliant billing.

Clinical Decision Support

Checklist
  • Hx: Fall or trauma, groin pain, difficulty ambulating
  • PE: Tenderness over inferior pubic ramus, pain with hip movement
  • Imaging: X-ray pelvis (AP, inlet/outlet views) for fracture confirmation
  • Dx: ICD-10 S72.41- Inferior pubic ramus fracture, closed fracture

Reimbursement and Quality Metrics

Impact Summary
  • Inferior Pubic Rami Fracture reimbursement hinges on accurate ICD-10 coding (S32.4-), CPT coding for procedures, and proper modifier use for optimal payment.
  • Coding quality directly impacts Inferior Pubic Rami Fracture claims denial rates. Accurate coding ensures appropriate reimbursement and reduces administrative burden.
  • Hospital quality reporting for Inferior Pubic Rami Fracture includes metrics like time to pain management, length of stay, and complication rates. Accurate documentation is crucial.
  • Timely and specific documentation of Inferior Pubic Rami Fracture severity, treatment, and complications is essential for proper DRG assignment and hospital reimbursement.

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 S32.41- for unspecified side
  • Document mechanism of injury
  • Laterality crucial for S32.42-
  • Query physician for displacement
  • Confirm diagnosis with imaging

Documentation Templates

Patient presents with complaints of groin pain, pelvic pain, and difficulty ambulating following a [mechanism of injury - e.g., fall, motor vehicle accident].  Physical examination reveals tenderness to palpation over the inferior pubic ramus, potentially with associated ecchymosis and swelling.  Pain is exacerbated with hip movement, weight-bearing, and palpation.  Differential diagnosis includes superior pubic ramus fracture, acetabular fracture, hip dislocation, and soft tissue injury.  Radiographic imaging, including pelvic X-ray and potentially CT scan for complex fractures, is ordered to confirm the diagnosis of inferior pubic ramus fracture and evaluate for associated injuries.  Initial treatment includes pain management with analgesics, rest, ice, compression, and elevation.  Weight-bearing status is determined based on fracture stability and displacement.  Referral to orthopedics or trauma surgery may be indicated for further evaluation and management, particularly for displaced fractures or those involving the pelvic ring.  Patient education regarding fall prevention, safe ambulation techniques, and expected recovery timeline is provided.  Follow-up appointment scheduled for reassessment and to monitor healing progress.  ICD-10 code S32.41XA (for right side), S32.42XA (for left side), or S32.43XA (for bilateral side) is documented for an unspecified closed fracture of the inferior pubic ramus.  CPT codes for fracture care will be determined based on the specific treatment provided, which may include closed reduction, casting, or surgical intervention.
Inferior Pubic Rami Fracture - AI-Powered ICD-10 Documentation