AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; ICD-10-CM NEW/REVISED CODES
Salter-Harris Fractures and Other Physeal Fractures of Foot and Ankle
New codes have been created to identify Salter-Harris physeal fractures and other physeal fractures of the ankle and foot. These codes are classified in category S99, Other and unspecified injuries of foot and ankle. Physeal fractures are fractures that go through the growth plate in growing young people. Physeal fractures are classified into Salter-Harris fracture types (they are named for the authors who first described these fractures). Salter-Harris physeal fractures are classified as type I, type II, type III, type IV and type V. Type I Salter-Harris physeal fractures follow the growth plate, separating the epiphysis from the metaphysis...
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Article Overview
This article covers newly created ICD-10-CM classifications for Salter-Harris and other physeal fractures of the foot and ankle. It is intended for coding professionals, auditors, CDI teams, and clinicians who need a broad understanding of how these injuries are grouped within foot-and-ankle injury coding. The article reviews the general clinical context of physeal fractures, their relationship to Salter-Harris types, and the affected anatomic areas before outlining the new subcategory structure.
Why This Topic Matters
Foot and ankle physeal injuries are now represented more specifically in ICD-10-CM, which affects accurate injury classification and data capture. The article helps readers understand the scope of the new categories without relying on the premium text.
Article Sections
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Overview of physeal fractures
Introduces physeal fractures and explains their broad relationship to growth-plate injuries in younger patients. It also sets up the Salter-Harris framework used later in the article.
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Salter-Harris fracture types I through V
Summarizes the major Salter-Harris types and describes them at a high level. The section provides general clinical context for the classification system referenced throughout the article.
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Foot and ankle classification updates
Explains why additional ICD-10-CM categories were created for foot and ankle physeal injuries. It also identifies the anatomic areas covered by the new structure and presents the new subcategory groupings at a summary level.
What You Will Learn
- How physeal fractures are broadly classified in relation to Salter-Harris types
- Why foot and ankle injuries required additional ICD-10-CM specificity
- Which general anatomic areas are addressed by the new classification structure
- How the article organizes the new foot and ankle subcategories by fracture type
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity professionals
- Physicians and other clinicians
- Health information management professionals
Codes Discussed
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