Pelvic Fracture without Disruption of Pelvic Circle

Effective October 1, 2011, new codes have been created to identify multiple closed or open pelvic fractures without disruption of the pelvic circle. Since there is a significant difference in the severity of pelvic fractures when there is a disruption of the pelvic circle, new codes have been created for pelvic fractures without disruption of the pelvic circle. The existing codes have been revised to be used only for pelvic fractures with disruption of the pelvic circle. The pelvis is formed by a group of bones (ischium, ilium, pubis, sacrum and coccyx) that form a ring. These bones support...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers an ICD-9-CM coding update for pelvic fracture classification effective October 1, 2011. It is relevant to coders, CDI staff, and clinicians who work with injury documentation and fracture coding. The piece focuses on how the pelvic fracture category was revised and which new and revised code groupings were introduced.

Why This Topic Matters

Accurate pelvic fracture coding depends on distinguishing fracture patterns that are classified differently in the code set. This update matters because it affects how injury documentation is mapped to the revised ICD-9-CM pelvic fracture categories.

What You Will Learn

  • How the pelvic fracture coding category was updated
  • What general types of pelvic fracture classifications were revised
  • Which broad fracture categories were newly introduced for this update
  • Why documentation detail for pelvic fracture patterns matters for coding

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation improvement specialists
  • Orthopedic and trauma documentation staff

Codes Discussed

  • ICD-9-CM: 808
  • ICD-9-CM: 808.4
  • ICD-9-CM: 808.43
  • ICD-9-CM: 808.44
  • ICD-9-CM: 808.5
  • ICD-9-CM: 808.53
  • ICD-9-CM: 808.54

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