Coding fractures in ICD10: Difference between revisions

Revision as of 14:09, 16 November 2017

Usually a fracture will also be associated with one or more other diagnosis codes.
For example, since most fractures are traumas, in those cases you should also code the mechanism of injury. See:

Mechanism codes:
Mechanism of injury: animal rider or occupant of animal-drawn vehicle Mechanism of injury: assault with bodily force Mechanism of injury: bus occupant Mechanism of injury: crushed or jammed or pinched in or between objects Mechanism of injury: driver or occupant of ATV or off-road vehicle or snowmobile Mechanism of injury: driver or occupant of watercraft Mechanism of injury: explosion Mechanism of injury: fall or jump (not necessarily from a height) Mechanism of injury: firearm (GSW) Mechanism of injury: hanging or strangulation (accidental or intentional) Mechanism of injury: hypodermic needle Mechanism of injury: knife or other sharp object, stabbing Mechanism of injury: machinery Mechanism of injury: motorcyclist Mechanism of injury: occupant or driver of car or truck Mechanism of injury: other NOS Mechanism of injury: pedal cyclist vs powered vehicle Mechanism of injury: pedal cyclist, not with powered vehicle Mechanism of injury: pedestrian vs powered vehicle Mechanism of injury: pilot or occupant of aircraft Mechanism of injury: struck by an inanimate moving object/blunt trauma Mechanism of injury: train occupant Mechanism of injury: transport or vehicle accident NOS

If the mechanism of injury is unknown or not among those listed, use Mechanism of injury: other NOS

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 == Coding instructions ==
-{{discussion}}
+*Usually a fracture will also be associated with one or more ''other'' diagnosis codes.
-Work in progress, but clearly there are some things that would be coded separately for a fracture, so starting this article rather than re-stating it in each dx article.
+*For example, since most fractures are traumas, in those cases you should also code the mechanism of injury.  See: {{ListICD10Category | categoryName = Mechanism}}
-* [[Osteoporosis with new pathologic fracture]]
+*If the mechanism of injury is unknown or not among those listed, use '''[[Mechanism of injury: other NOS]]'''
-* [[Osteoporosis without new pathologic fracture]]
-* [[Bone, stress fracture]]
+*If it's a nontraumatic fracture, you should also code the cause, e.g:
-* [[Bone, pathologic fracture NOS]]
+**[[Bone, pathologic fracture due to neoplastic disease]]
-* [[Bone or cartilage, benign neoplasm]]
+**[[Osteoporosis with new pathologic fracture]]
-* [[Bone, disorder of bone continuity]]
+**[[Bone, stress fracture]]
-* [[Bone cyst]]
+**[[Bone, pathologic fracture NOS]]
-*[[Bone, pathologic fracture due to neoplastic disease]]
+**[[Bone, disorder of bone continuity]]
 [[Category:ICD10]]