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S63.501A
ICD-10-CM
Right Wrist Sprain

Find information on Right Wrist Sprain diagnosis, including clinical documentation, medical coding, ICD-10 codes, symptoms, treatment, and prognosis. Learn about proper healthcare documentation for a Right Wrist Sprain and relevant medical coding guidelines. This resource provides details on Right Wrist Sprain for healthcare professionals, coders, and patients seeking information on this specific diagnosis. Explore resources related to wrist pain, sprain diagnosis, and differential diagnosis for wrist injuries.

Also known as

Right Wrist Ligament Injury
Right Wrist Strain
wrist ligament injury
+1 more

Diagnosis Snapshot

Key Facts
  • Definition : Stretching or tearing of ligaments in the right wrist.
  • Clinical Signs : Pain, swelling, bruising, limited range of motion, tenderness to touch.
  • Common Settings : Sports injuries, falls, sudden twists, repetitive motions.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S63.501A Coding
S63

Dislocations, sprains and strains of wrist

Covers sprains and strains of wrist and hand joints.

S60-S69

Injuries to the wrist and hand

Includes various injuries like fractures, dislocations, and sprains of the wrist and hand.

S00-T98

Injuries, poisonings and other consequences

Encompasses a wide range of injuries, including those to the wrist.

Code-Specific Guidance

Decision Tree for

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

Is the right wrist sprain specified as traumatic?

  • Yes

    Is there a dislocation?

  • No

    Code as M79.101 - Pain in right wrist

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right Wrist Sprain
Right Wrist Strain
Right Wrist Contusion

Documentation Best Practices

Documentation Checklist
  • Right wrist sprain ICD-10 code
  • Laterality: Right wrist documented
  • Mechanism of injury specified
  • Severity: Mild, moderate, or severe
  • Physical exam findings: Swelling, tenderness, ROM

Coding and Audit Risks

Common Risks
  • Laterality Unspecified

    Coding lacks right or left wrist designation. Use S63.501A for right wrist sprain, avoiding unspecified S63.509A. Impacts reimbursement and data accuracy.

  • Specificity Deficiency

    Documentation lacks detail on sprain grade (mild, moderate, severe) impacting correct ICD-10 and potential undercoding. CDI crucial for accurate capture.

  • Cause Omitted

    Underlying cause (e.g., fall, sports injury) not documented. Affects coding accuracy, risk adjustment, and compliance with clinical documentation guidelines.

Mitigation Tips

Best Practices
  • RICE therapy (Rest, Ice, Compression, Elevation)
  • Immobilize with splint or brace, document ICD-10 S63 properly
  • Pain management NSAIDs, follow CDI guidelines for accurate coding
  • Early mobilization exercises, monitor progress, ensure compliance
  • Referral to PT/OT if needed, document medical necessity for billing

Clinical Decision Support

Checklist
  • Hx: Acute wrist pain after FOOSH/trauma
  • PE: Tenderness over lateral wrist, no deformity
  • R/O fracture: Negative X-ray of right wrist
  • Assess ROM, ligament stability

Reimbursement and Quality Metrics

Impact Summary
  • Right Wrist Sprain reimbursement hinges on accurate ICD-10 coding (S63) and CPT coding for evaluation and management, radiology, or procedures.
  • Coding quality impacts denials. Accurate wrist sprain diagnosis coding ensures appropriate payment and reduces claim rejections.
  • Hospital reporting of wrist sprain diagnoses affects quality metrics related to patient safety, time to treatment, and resource utilization.
  • Accurate documentation of right wrist sprain severity influences reimbursement levels and facilitates appropriate treatment plans.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code S63.501A for unspecified wrist sprain
  • Laterality: Use 'right' modifier
  • Document mechanism of injury
  • Grade sprain for specificity
  • Consider associated fractures

Documentation Templates

Patient presents with complaints of right wrist pain and swelling following a fall on an outstretched hand.  Onset of symptoms occurred approximately two days ago.  Patient reports pain is exacerbated by movement and describes it as sharp and aching.  Physical examination reveals tenderness to palpation over the lateral aspect of the right wrist, mild edema, and ecchymosis.  Range of motion is limited due to pain, particularly with extension and radial deviation.  No crepitus or obvious deformity noted.  Neurovascular examination of the hand is intact.  Given the mechanism of injury, clinical presentation, and physical exam findings, the diagnosis of right wrist sprain is made.  Differential diagnoses considered include fracture, tendonitis, and ligament tear.  Radiographs of the right wrist were obtained to rule out fracture and are negative for acute bony abnormality.  Treatment plan includes RICE therapy (rest, ice, compression, elevation), NSAIDs for pain management, and a right wrist splint for immobilization.  Patient education provided regarding activity modification and follow-up care.  Follow-up scheduled in one week to assess symptom improvement and discuss potential physical therapy referral if indicated.  ICD-10 code S63.501A, right wrist sprain, initial encounter, is assigned.
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