Find information on Left Wrist Fracture diagnosis, including clinical documentation tips, ICD-10 and CPT codes, medical coding guidelines, and healthcare resources. Learn about common left wrist fracture types, such as distal radius fracture, Colles fracture, Smith fracture, and scaphoid fracture. Explore resources for proper fracture documentation, coding for closed and open fractures, and best practices for medical billing and reimbursement related to left wrist fracture treatment. This resource aims to provide comprehensive information for healthcare professionals, coders, and billers dealing with Left Wrist Fracture cases.
Also known as
Fractures of wrist and hand
Covers fractures of the carpal and metacarpal bones and phalanges of the hand.
Fracture of forearm
Includes fractures of the radius and ulna, including Colles' and Smith's fractures.
Injuries to the wrist, hand and fingers
Encompasses various injuries like sprains, strains, dislocations, and fractures in the wrist and hand.
Soft tissue disorders
May be relevant if soft tissue damage accompanies the left wrist fracture.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the fracture traumatic?
Yes
Open or closed fracture?
No
Pathological fracture?
When to use each related code
Description |
---|
Left Wrist Fracture |
Left Distal Radius Fracture |
Left Scaphoid Fracture |
Missing or unclear documentation specifying left wrist affects accurate coding and reimbursement.
Lack of detail on fracture type (e.g., distal radius, carpal) leads to unspecified codes and lost revenue.
Failure to use specific combination codes when applicable (e.g., fracture with dislocation) impacts data accuracy and quality reporting.
Patient presents with complaints of left wrist pain and swelling following a fall onto an outstretched hand. On examination, there is tenderness to palpation over the distal radius and anatomical snuffbox. Ecchymosis and edema are noted at the left wrist. Range of motion is limited due to pain. Neurovascular examination reveals intact radial and ulnar pulses, with capillary refill less than 2 seconds. Sensation is intact to light touch in the median, ulnar, and radial nerve distributions. Radiographic imaging of the left wrist confirms a distal radius fracture. Diagnosis: Left wrist fracture, distal radius fracture, fractured wrist. Differential diagnoses included wrist sprain, scaphoid fracture, and ulnar styloid fracture. Assessment includes closed reduction and immobilization with a cast or splint. Patient education provided regarding pain management, activity modification, and follow-up care. Follow-up scheduled for repeat radiographs and evaluation of fracture healing. ICD-10 codes considered include S22.101A (unspecified fracture of distal end of left radius, initial encounter for closed fracture), S22.101D (subsequent encounter for closed fracture) and S22.101S (sequela). CPT codes for procedures performed will be determined based on treatment provided, which may include closed reduction (25600), application of splint (29075), or application of cast (29085). Plan includes referral to orthopedics for further management if indicated.