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S32.591A
ICD-10-CM
Inferior Pubic Ramus Fracture

Find information on inferior pubic ramus fracture diagnosis, including clinical documentation tips, ICD-10 codes (S72.4), medical coding guidelines, and healthcare resources. Learn about pubic rami fracture symptoms, treatment options, and recovery. This resource provides accurate information for physicians, coders, and other healthcare professionals dealing with pelvic fractures and related injuries.

Also known as

Pubic Ramus Fracture
Pelvic Fracture
inferior rami fracture

Diagnosis Snapshot

Key Facts
  • Definition : Break in the lower part of the pubic bone.
  • Clinical Signs : Groin pain, difficulty walking, tenderness to touch.
  • Common Settings : Falls, sports injuries, trauma.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S32.591A Coding
S32.4-

Fracture of inferior pubic ramus

Fracture of the lower part of the front pelvic bone.

S32.-

Fracture of pelvis

Fractures involving any part of the pelvic ring.

S30-S39

Injuries to the pelvis

Includes various injuries like dislocations and sprains of the pelvis.

S00-T98

Injury, poisoning, and certain other consequences of external causes

Encompasses a wide range of injuries and external cause codes.

Code-Specific Guidance

Decision Tree for

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

Is the fracture displaced?

  • Yes

    Open or closed fracture?

  • No

    Open or closed fracture?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Inferior Pubic Ramus Fracture
Superior Pubic Ramus Fracture
Pubic Bone Fracture NOS

Documentation Best Practices

Documentation Checklist
  • Document mechanism of injury (e.g., fall, trauma)
  • Laterality: Specify right, left, or bilateral
  • Describe fracture: Displaced, nondisplaced, comminuted
  • Associated injuries: Soft tissue, pelvic ring
  • Image findings: X-ray, CT, MRI confirmation

Coding and Audit Risks

Common Risks
  • Laterality Coding Error

    Missing or incorrect laterality (right, left, unspecified) for the inferior pubic ramus fracture can lead to inaccurate coding and claims.

  • Specificity Undercoding

    Failing to capture the specific fracture type (e.g., displaced, comminuted) of the inferior pubic ramus can result in lost revenue.

  • Associated Injury Omission

    Overlooking associated injuries like pelvic ring disruptions or acetabular fractures with inferior pubic ramus fractures impacts reimbursement and quality metrics.

Mitigation Tips

Best Practices
  • Document mechanism of injury for accurate ICD-10 coding (S32.4).
  • Specify laterality (right/left) and displacement in clinical notes for CDI.
  • Query physician for fracture type (avulsion, stress) to improve coding specificity.
  • Correlate imaging findings (X-ray, CT) with physical exam for compliant documentation.
  • Review and update diagnosis codes based on final operative report if applicable.

Clinical Decision Support

Checklist
  • 1. Groin pain ICD-10: M75.17, S32.40XA Document mechanism of injury
  • 2. Tenderness over inferior pubic ramus Palpate carefully
  • 3. Ecchymosis/swelling Document location and extent
  • 4. Imaging (X-ray/CT) Confirm fracture and rule out other injuries

Reimbursement and Quality Metrics

Impact Summary
  • Inferior Pubic Ramus Fracture Reimbursement: ICD-10 S72.41, CPT 27244, 27245 (ORIF), Focus on coding accuracy for optimal reimbursement.
  • Quality Metrics Impact: Pain management documentation crucial for patient satisfaction scores. Time to surgery impacts quality indicators.
  • Hospital Reporting: Accurate fracture classification (e.g., displaced, non-displaced) impacts trauma registry data and quality reporting.
  • Coding Tips: Document fracture displacement and any associated injuries (e.g., pelvic ring fractures) for accurate coding and higher 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 pubic ramus fx S32.4-
  • ICD-10 S32.4- for ipr fx
  • Document laterality for ipr
  • Query MD for fx displacement
  • X-ray confirms IPR fracture

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, pain with hip range of motion, and possible ecchymosis or swelling in the groin region.  Anteroposterior pelvis radiograph demonstrates a fracture of the inferior pubic ramus, with [description of fracture - e.g., nondisplaced, displaced, comminuted].  Diagnosis of inferior pubic ramus fracture confirmed.  Differential diagnosis includes superior pubic ramus fracture, pelvic ring disruption, acetabular fracture, and hip contusion.  Treatment plan includes pain management with analgesics, weight-bearing status as tolerated, and close follow-up.  Patient advised to avoid strenuous activity and use assistive devices as needed.  Referral to orthopedics or physical therapy may be considered based on clinical progress.  ICD-10 code S72.41 (Fracture of inferior pubic ramus) is appropriate for this diagnosis.  Patient education provided regarding fracture care, potential complications, and expected recovery time.  Follow-up scheduled in [duration] to assess healing and functional status.