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S32.591A
ICD-10-CM
Left Pubic Rami Fracture

Find information on left pubic rami fracture diagnosis, including clinical documentation, medical coding (ICD-10, CPT), healthcare guidelines, and treatment protocols. Learn about pubic ramus fracture symptoms, imaging (X-ray, CT scan), and orthopedic management. This resource provides comprehensive information for physicians, coders, and other healthcare professionals dealing with left inferior pubic ramus fracture or left superior pubic ramus fracture cases.

Also known as

Left Superior Pubic Ramus Fracture
Left Inferior Pubic Ramus Fracture

Diagnosis Snapshot

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

Related ICD-10 Code Ranges

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

Fracture of pubis

This range covers fractures of the pubic bone.

S32.7-

Pelvic fracture

Includes fractures of multiple pelvic bones, possibly involving the pubic rami.

S32.-

Fracture of pelvis

General category for pelvic fractures, encompassing more specific pubic rami 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

    Open fracture?

  • No

    Open fracture?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left Pubic Rami Fracture
Right Pubic Rami Fracture
Pelvic Ring Fracture

Documentation Best Practices

Documentation Checklist
  • Document mechanism of injury (fall, MVA, etc.)
  • Specify left vs right pubic rami fracture
  • Document displacement/angulation if present
  • Include associated injuries (e.g., pelvic fractures)
  • Note any neurovascular compromise

Coding and Audit Risks

Common Risks
  • Laterality Specificity

    Coding and documentation must clearly specify whether the left pubic rami fracture is unilateral or if it involves both left and right sides. Impacts accurate code assignment (e.g., S32.41-).

  • Displaced vs. Nondisplaced

    ICD-10-CM coding distinguishes between displaced and nondisplaced fractures. Documentation needs to explicitly state fracture displacement status for correct code selection (S32.411A vs. S32.411B).

  • Associated Injuries

    Often other pelvic injuries accompany pubic rami fractures. Complete documentation of all associated injuries is crucial for accurate coding and appropriate reimbursement. Avoid unspecified codes when detail is available.

Mitigation Tips

Best Practices
  • Document fracture type: displaced, nondisplaced, comminuted. ICD-10: S32.42
  • Capture mechanism of injury for accurate coding, e.g., fall, MVA. HCCs
  • Query provider for laterality, specify left pubic rami. CDI best practice
  • Evaluate for associated injuries: bladder, urethra. Improve documentation
  • Code any open fractures as open fracture of left pubic ramus. ICD-10

Clinical Decision Support

Checklist
  • 1. Verify localized tenderness/pain left pubic ramus (ICD-10 S72.20XA)
  • 2. Check imaging (X-ray/CT) for fracture line confirmation (CPT 73530)
  • 3. Assess pelvic stability exclude any associated injuries
  • 4. Document mechanism of injury for accurate coding (E887.x)
  • 5. Evaluate neurovascular status of affected limb

Reimbursement and Quality Metrics

Impact Summary
  • Left Pubic Rami Fracture reimbursement hinges on accurate coding (ICD-10 S32.4-, CPT 27244, 27245) impacting hospital case mix index.
  • Coding validation crucial for Left Pubic Rami Fracture claims. Denials impact revenue cycle and timely reimbursement.
  • Quality metrics for Left Pubic Rami Fracture include pain management, mobility improvement, and complication rates, impacting hospital value-based payments.
  • Accurate documentation of Left Pubic Rami Fracture severity and treatment (ORIF, conservative) influences reimbursement and quality reporting.

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 rami fx S32.4
  • ICD-10 S32.4, check laterality
  • Document fracture type/displacement

Documentation Templates

Patient presents with complaints of left groin pain, left hip pain, and difficulty ambulating following a fall.  Mechanism of injury was a fall from standing height onto the left hip.  On physical examination, there is tenderness to palpation over the left pubic ramus.  Patient exhibits pain with active and passive range of motion of the left hip.  There is no obvious deformity.  Neurovascular exam of the left lower extremity is intact.  Radiographic imaging of the pelvis reveals a minimally displaced fracture of the left inferior pubic ramus.  Diagnosis of left inferior pubic rami fracture is confirmed.  Treatment plan includes pain management with analgesics, weight-bearing as tolerated with the use of an assistive device such as a walker or crutches, and close follow-up.  Patient education provided regarding fall prevention strategies.  Prognosis for healing is good with conservative management.  Follow-up scheduled in two weeks for repeat radiographs and clinical evaluation.  ICD-10 code S32.42XA assigned for left inferior pubic ramus fracture, closed.  CPT codes for evaluation and management services will be determined based on the complexity of the encounter.  Differential diagnosis included left hip fracture, left femoral neck fracture, and left acetabular fracture.