Coding fractures in ICD10: Difference between revisions
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== Coding instructions == | == Coding instructions == | ||
*There are two main categories of fractures: (a) due to trauma/injury, and (b) nontraumatic fractures | *There are two main categories of fractures: (a) due to trauma/injury, and (b) nontraumatic fractures | ||
===Fractures due to trauma or injury=== | |||
*For fractures due to ''external causes'' i.e. trauma or injury, there are a number of specific codes identifying the bone in question. | *For fractures due to ''external causes'' i.e. trauma or injury, there are a number of specific codes identifying the bone in question. | ||
**Some of these are quite specific for the bone, e.g: '''[[Femur, fracture, injury/trauma]]''' | **Some of these are quite specific for the bone, e.g: '''[[Femur, fracture, injury/trauma]]''' | ||
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*If the mechanism of trauma is unknown or not among those listed, use '''[[Mechanism of injury: other NOS]]''' | *If the mechanism of trauma is unknown or not among those listed, use '''[[Mechanism of injury: other NOS]]''' | ||
===Nontraumatic fractures=== | |||
*Here there are fewer codes, and the only bones that have specific codes are femur/pelvis and vertebrae. Nontraumatic fractures fall into 4 main subcategories: | |||
* | *1) Pathologic fractures due to neoplastic disease | ||
**[[Femur or pelvis, pathologic fracture due to neoplastic disease]] | **[[Femur or pelvis, pathologic fracture due to neoplastic disease]] | ||
**[[Spine, pathologic fracture due to neoplastic disease]] | **[[Spine, pathologic fracture due to neoplastic disease]] | ||
**[[Bone NOS, pathologic fracture due to neoplastic disease]] | **[[Bone NOS, pathologic fracture due to neoplastic disease]] | ||
*Pathologic fractures due to osteopororis | *2) Pathologic fractures due to osteopororis | ||
**[[Femur or pelvis, osteoporosis with new pathologic fracture]] | **[[Femur or pelvis, osteoporosis with new pathologic fracture]] | ||
**[[Vertebrae, osteoporosis with new pathologic fracture]] | **[[Vertebrae, osteoporosis with new pathologic fracture]] | ||
**[[Bone NOS, osteoporosis with new pathologic fracture]] | **[[Bone NOS, osteoporosis with new pathologic fracture]] | ||
*Stress fractures -- note here we have just one code, not special codes for specific bones | *3) Stress fractures -- note here we have just one code, not special codes for specific bones | ||
**[[Bone, stress fracture]] | **[[Bone, stress fracture]] | ||
*Nontraumatic fractures NOS | *4) Nontraumatic fractures NOS | ||
**[[Femur or pelvis, nontraumatic fracture NOS]] | **[[Femur or pelvis, nontraumatic fracture NOS]] | ||
**[[Vertebrae, nontraumatic fracture NOS]] | **[[Vertebrae, nontraumatic fracture NOS]] | ||
**[[Bone NOS, nontraumatic fracture NOS]] | **[[Bone NOS, nontraumatic fracture NOS]] | ||
*Also sometimes relevant will be: | *Also sometimes relevant will be: [[Bone, disorder of bone continuity NOS]] | ||
Revision as of 17:40, 16 November 2017
Coding instructions
- There are two main categories of fractures: (a) due to trauma/injury, and (b) nontraumatic fractures
Fractures due to trauma or injury
- For fractures due to external causes i.e. trauma or injury, there are a number of specific codes identifying the bone in question.
- Some of these are quite specific for the bone, e.g: Femur, fracture, injury/trauma
- Others identify a group of bones, e.g: Ankle or foot or toes, fracture, injury/trauma
- And some 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
Nontraumatic fractures
- Here there are fewer codes, and the only bones that have specific codes are femur/pelvis and vertebrae. Nontraumatic fractures fall into 4 main subcategories:
- 1) Pathologic fractures due to neoplastic disease
- 2) Pathologic fractures due to osteopororis
- 3) Stress fractures -- note here we have just one code, not special codes for specific bones
- 4) Nontraumatic fractures NOS
- Also sometimes relevant will be: Bone, disorder of bone continuity NOS
you should also code the cause, e.g: