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S52.502A
ICD-10-CM
Left Distal Radius Fracture

Find information on Left Distal Radius Fracture diagnosis, including clinical documentation tips, ICD-10-CM codes (S52.50-), CPT codes for treatment like closed reduction (25600), external fixation (25605), or open reduction internal fixation (ORIF) (25607-25609), and proper medical coding guidelines for accurate healthcare billing and reimbursement. Learn about common signs, symptoms, and aftercare procedures for distal radius fractures of the left wrist. This resource offers guidance for physicians, coders, and other healthcare professionals seeking accurate and comprehensive information on Left Distal Radius Fracture management.

Also known as

Left Wrist Fracture
Colles' Fracture
Smith's Fracture
+1 more

Diagnosis Snapshot

Key Facts
  • Definition : Break in the radius bone near the wrist.
  • Clinical Signs : Wrist pain, swelling, tenderness, deformity, limited range of motion.
  • Common Settings : Falls, sports injuries, trauma.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S52.502A Coding
S52.-

Fracture of lower end of radius

Fractures of the distal radius, including Colles' and Smith's fractures.

S52.5-

Fracture of styloid process of radius

Fractures specifically involving the radial styloid process.

S50-S59

Injuries to the elbow and forearm

Encompasses various injuries to the elbow and forearm region, including fractures.

S00-T98

Injury, poisoning and certain other consequences of external causes

Broad category covering injuries, including fractures due to external causes.

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?

  • Open

    Type of open fracture?

  • Closed

    Displaced or non-displaced?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left Distal Radius Fracture
Left Radial Styloid Fracture
Left Ulnar Styloid Fracture

Documentation Best Practices

Documentation Checklist
  • Left distal radius fracture documentation
  • ICD-10 S52.509A, S52.509D, S52.509K initial encounter
  • Document fracture laterality (left)
  • Specify distal radius location
  • Document fracture type (open/closed, displaced/nondisplaced)
  • Capture mechanism of injury (MOI)

Coding and Audit Risks

Common Risks
  • Laterality unspecified

    Coding lacks laterality (left vs. right), leading to inaccurate claims and potential denials. Impacts CDI and compliance.

  • Fracture type unclear

    Unspecified fracture type (e.g., displaced, comminuted) affects DRG assignment and reimbursement. Critical for medical coding audits.

  • Unclear encounter type

    Initial, subsequent, or sequela encounter unspecified. Impacts coding accuracy and compliance with healthcare regulations.

Mitigation Tips

Best Practices
  • ICD-10 S52.509A, document fracture laterality, mechanism of injury.
  • CPT 25607-25622, specify closed vs. open, displaced vs. nondisplaced.
  • Document neurovascular status, include pain assessment, ROM for compliance.
  • X-ray confirmation is crucial. Specify location, type for accurate coding.
  • For aftercare coding, clearly document splint, cast, reduction procedures.

Clinical Decision Support

Checklist
  • 1. Localized pain distal radius: Palpation tenderness, anatomical snuffbox check
  • 2. Wrist deformity or swelling: Assess range of motion, compare bilaterally
  • 3. Xray imaging: Confirm fracture presence, type (Colles, Smith), displacement
  • 4. Neurovascular assessment: Evaluate median, ulnar, radial nerve function

Reimbursement and Quality Metrics

Impact Summary
  • Left Distal Radius Fracture Reimbursement: Coding accuracy impacts physician payment, hospital revenue cycle management, and claim denial rates. Proper ICD-10 (S52.50-) and CPT (25607-25609) coding is crucial for maximizing reimbursement.
  • Quality Metrics Impact: Accurate fracture diagnosis coding affects hospital quality reporting, including patient safety indicators (PSI), complication rates, and overall orthopedic performance metrics.
  • Hospital Reporting Impact: Correct coding ensures proper severity classification (MS-DRG) affecting hospital case mix index (CMI) and accurate reflection of resource utilization.
  • Denial Management Impact: Specific and complete documentation with appropriate modifiers is essential for avoiding claim denials and optimizing the revenue cycle for distal radius fracture care.

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Frequently Asked Questions

Common Questions and Answers

Q: What are the most reliable clinical indicators for differentiating a Left Distal Radius Fracture from a wrist sprain in an acute setting, considering subtle presentations?

A: Differentiating a subtle Left Distal Radius Fracture from a wrist sprain requires careful evaluation. While pain and swelling are present in both, point tenderness over the distal radius, particularly at the anatomical snuffbox, strongly suggests a fracture. Limited range of motion and crepitus upon palpation are further indicative of a fracture. However, these signs can be ambiguous in subtle cases. Radiographic imaging, including PA and lateral views, is crucial for definitive diagnosis, especially when clinical findings are inconclusive. Explore how weight-bearing status and mechanism of injury can inform your initial assessment, even before radiographic confirmation.

Q: How do I determine appropriate post-reduction management strategies for a Left Distal Radius Fracture, specifically considering factors like fracture displacement, patient age, and comorbidities?

A: Post-reduction management for a Left Distal Radius Fracture should be individualized based on factors like fracture displacement, patient age, and comorbidities. Stable, minimally displaced fractures may be managed conservatively with cast immobilization. However, significantly displaced fractures, intra-articular involvement, or instability often require surgical intervention, such as open reduction internal fixation (ORIF) or external fixation. Patient age and comorbidities like osteoporosis also influence decision-making. For example, elderly patients with osteoporotic fractures might benefit from early mobilization with less invasive techniques like percutaneous pinning. Consider implementing standardized protocols for post-reduction care, including pain management, edema control, and rehabilitation, to optimize patient outcomes. Learn more about the latest evidence-based guidelines for post-reduction management of distal radius fractures.

Quick Tips

Practical Coding Tips
  • Code distal radius fx S22.4XXA
  • Specify laterality: Left
  • Document fracture type
  • Add 7th character for encounter
  • Check for associated ulnar fx

Documentation Templates

Patient presents with complaints of left wrist pain and swelling following a fall onto an outstretched hand.  On physical examination, tenderness is noted over the distal radius.  Deformity and ecchymosis are present at the distal left forearm.  Limited range of motion is observed due to pain.  Neurovascular assessment reveals intact radial and ulnar pulses, capillary refill less than 2 seconds, and normal sensation in the median, ulnar, and radial nerve distributions.  Radiographic imaging of the left wrist confirms a distal radius fracture.  Specifically, a  left distal radius fracture is diagnosed. Differential diagnoses considered included wrist sprain, ulnar styloid fracture, and carpal bone fracture.  The fracture is classified as (specify classification e.g., Colles fracture, Smith fracture, Barton fracture) with (specify displacement  e.g., dorsal displacement, volar displacement) and (specify comminution e.g., extra-articular, intra-articular, comminuted).  Treatment plan includes (specify treatment e.g., closed reduction and casting, open reduction internal fixation, external fixation) and pain management with (specify pain management e.g.,  NSAIDs, acetaminophen, opioids).  Patient education provided regarding fracture care, activity modification, and follow-up appointments.  Follow-up scheduled in (specify timeframe e.g., one week, two weeks) for repeat radiographs and assessment of fracture healing.  ICD-10 code S52.502A assigned for closed fracture of distal radius, left arm.  CPT codes for procedures performed will be documented separately.  Prognosis for recovery is good with appropriate treatment.