Health Information Management

Tip: Reporting torus fractures of the lower leg in ICD-10-CM

APCs Insider, August 22, 2014

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Unlike all other codes in ICD-10-CM category S82.-, torus fractures of the lower leg do not use the Gustilo-Anderson open classification for the seventh character. A torus fracture is a bone deformity in children, often occurring in the tibia and fibula, in which the bone bends, but does not fracture.
 
Instead, coders must choose one of the following:
  • A, initial encounter for closed fracture
  • D, subsequent encounter for fracture with routine healing
  • G, subsequent encounter for fracture with delayed healing
  • K, subsequent encounter for fracture with nonunion
  • P, subsequent encounter for fracture with malunion
  • S, sequela
Coders will report seventh character A when a condition is actively treated during the initial encounter (e.g., surgical treatment, ED encounter, evaluation by new physician[s]).
 
The subsequent encounter characters are used for follow-up treatment of that same injury during the recovery phase. The seventh character S, for sequela, should be used for complications that are a direct result of an injury.
 
This tip is adapted from “ICD-10-CM anatomy refresher: Lower leg” in the August issue of Briefings on APCs.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular