tci Part B Insider - 2010 Issue 35

Reader Questions: 'Joint Fracture' Is a Misnomer

Question: Which diagnosis code should I use for an SI joint fracture?Answer: When looking at these types of fractures, you should keep in mind that you can't have a sacroiliac (SI) joint fracture because you can't fracture a joint, only a bone. Consequently, this would be either a sacral fracture at the SI joint (806.6x, Fracture of vertebral column with spinal cord injury; sacrum and coccyx, closed; or 805.6, Fracture of vertebral column without mention of spinal cord injury; sacrum and coccyx, closed) or a fracture of the ilium (808.41, Fracture of pelvis; other specified...

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