Coding fractures in ICD10: Difference between revisions

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~~{{ICD10 category|Fracture}}{{ICD10 category|Musculoskeletal/soft tissue}}~~

~~== Coding instructions ==~~

~~===Main Categories===~~

There are two main categories of fractures:

*~~Due~~ to trauma/injury -- by definition these have a so-called '''external''' cause or mechanism of injury". This means that the fracture was due to something ~~enternal~~ to the patient, such as getting hit by a baseball bat, or hitting their head on the pavement after falling off a ladder.

*[[#Fractures due to trauma or injury]] -- by definition these have a so-called '''external''' cause or mechanism of injury". This means that the fracture was due to something external to the patient, such as getting hit by a baseball bat, or hitting their head on the pavement after falling off a ladder.

*Nontraumatic fractures -- for these the main cause is something ''internal'' to the patient, such as a metastatic tumor to bone that weakens it.

*[[#Nontraumatic fractures]] -- for these the main cause is something ''internal'' to the patient, such as a metastatic tumor to bone that weakens it.

**While in these cases the fracture might well happen after some relatively minor stress to that bone (e.g. trying to open a jar of pickles, or lifting a heavy book), these should be included in the nontraumatic fracture ~~categtory~~ unless that stress would have led to a fracture in the absence of whatever weakened the bone.

**While in these cases the fracture might well happen after some relatively minor stress to that bone (e.g. trying to open a jar of pickles, or lifting a heavy book), these should be included in the nontraumatic fracture category unless that stress would have led to a fracture in the absence of whatever weakened the bone.

===Fractures due to trauma or injury===

*These codes for traumatic fractures include BOTH closed and open fractures --- i.e. for an open fracture there is no need to additionally code the soft tissue injury that overlies it and renders it "open"

**If a fracture, particularly an open fracture, is or becomes infected, then also code the infection

*For fractures due to ''external causes'' i.e. trauma or injury, there are specific codes identifying the bone in question.

**Some of these are specific for a single bone, e.g: '''[[Femur, fracture, injury/trauma]]'''

**Others identify a group of related bones, e.g: '''[[Ankle or foot or toes, fracture, injury/trauma]]'''

**And some are for when you only know the general region, e.g: '''[[Upper limb (arm) bones, level not specified/NOS, fracture, injury/trauma]]'''

*'''''For all such fractures''''', you MUST also code the mechanism of traumatic injury.

**If the mechanism of trauma is unknown or not among those listed, use '''[[Mechanism of injury: other NOS]]'''

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#*[[Bone NOS, nontraumatic fracture NOS]]

~~Also sometimes relevant will be:~~ [[Bone, disorder of bone continuity NOS]]

==== Related conditions ====

* [[Bone, disorder of bone continuity NOS]]

* [[Skeletal and/or muscular system NOS, congenital malformation/deformity]]

[[Category:ICD10]]

[[Category:Fracture | * ]]

@@ Line 1: / Line 1: @@
-{{ICD10 category|Fracture}}{{ICD10 category|Musculoskeletal/soft tissue}}
-== Coding instructions ==
-===Main Categories===
 There are two main categories of fractures:
-*Due to trauma/injury -- by definition these have a so-called '''external''' cause or mechanism of injury".  This means that the fracture was due to something enternal to the patient, such as getting hit by a baseball bat, or hitting their head on the pavement after falling off a ladder.
+*[[#Fractures due to trauma or injury]] -- by definition these have a so-called '''external''' cause or mechanism of injury".  This means that the fracture was due to something external to the patient, such as getting hit by a baseball bat, or hitting their head on the pavement after falling off a ladder.
-*Nontraumatic fractures -- for these the main cause is something ''internal'' to the patient, such as a metastatic tumor to bone that weakens it.
+*[[#Nontraumatic fractures]] -- for these the main cause is something ''internal'' to the patient, such as a metastatic tumor to bone that weakens it.
-**While in these cases the fracture might well happen after some relatively minor stress to that bone (e.g. trying to open a jar of pickles, or lifting a heavy book), these should be included in the nontraumatic fracture categtory unless that stress would have led to a fracture in the absence of whatever weakened the bone.
+**While in these cases the fracture might well happen after some relatively minor stress to that bone (e.g. trying to open a jar of pickles, or lifting a heavy book), these should be included in the nontraumatic fracture category unless that stress would have led to a fracture in the absence of whatever weakened the bone.
 ===Fractures due to trauma or injury===
+*These codes for traumatic fractures include BOTH closed and open fractures --- i.e. for an open fracture there is no need to additionally code the soft tissue injury that overlies it and renders it "open"
+**If a fracture, particularly an open fracture, is or becomes infected, then also code the infection
 *For fractures due to ''external causes'' i.e. trauma or injury, there are specific codes identifying the bone in question.
 **Some of these are specific for a single bone, e.g:  '''[[Femur, fracture, injury/trauma]]'''
 **Others identify a group of related bones, e.g:  '''[[Ankle or foot or toes, fracture, injury/trauma]]'''
 **And some are for when you only know the general region, e.g: '''[[Upper limb (arm) bones, level not specified/NOS, fracture, injury/trauma]]'''
-{{ListICD10Category | categoryName = Fracture}}
+{{ListICD10Category | categoryName = Traumatic fracture}}
 *'''''For all such fractures''''', you MUST also code the mechanism of traumatic injury.
 **If the mechanism of trauma is unknown or not among those listed, use '''[[Mechanism of injury: other NOS]]'''
@@ Line 37: / Line 34: @@
 #*[[Bone NOS, nontraumatic fracture NOS]]
-Also sometimes relevant will be: [[Bone, disorder of bone continuity NOS]]
+==== Related conditions ====
+* [[Bone, disorder of bone continuity NOS]]
+* [[Skeletal and/or muscular system NOS, congenital malformation/deformity]]
 [[Category:ICD10]]
+[[Category:Fracture | * ]]