AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 1; Ask the Editor
Salter-Harris Physeal Fracture of Metatarsal Bone
How is a Salter-Harris type I physeal fracture of the third metatarsal bone, left foot coded? The Index and Tabular List instructions are confusing. Are one or two codes necessary to capture a single physeal fracture? ...
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Article Overview
This article discusses ICD-10-CM coding for a Salter-Harris physeal fracture of the metatarsal bone, with emphasis on how the fracture is identified in the Index and Tabular List. It is intended for coders and other healthcare revenue cycle professionals who need to understand how this type of foot injury is documented and classified. The article also covers the distinction between physeal fracture coding and a more general metatarsal fracture category, along with guidance on whether more than one code is needed for a single injury.
Why This Topic Matters
Accurate coding of growth-plate injuries affects record specificity and supports correct classification of pediatric fracture diagnoses. This article helps readers understand how a metatarsal physeal fracture is organized within ICD-10-CM.
What You Will Learn
- How a Salter-Harris physeal fracture is categorized in ICD-10-CM
- How the article frames coding priority for growth-plate injuries
- Whether a single physeal fracture requires more than one diagnosis code
- How the metatarsal fracture categories are discussed in relation to each other
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Clinical documentation integrity professionals
Codes Discussed
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