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Home/Diagnosis/ICD-10 Coding for Right Arm Fracture

ICD-10 Coding for Right Arm Fracture

S42.3XXA
S52.5XXA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for right arm fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Fracture of Right Arm
Right Upper Limb Fracture
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Key Information: ICD-10 Coding for Right Arm Fracture

Essential facts and insights about ICD-10 Coding for Right Arm Fracture

Use ICD-10 code S42.3XXA for fracture of shaft of humerus, right arm, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of shaft of humerus, right arm, initial encounter

Non-Billable
S42.3XXA
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of fracture on imaging
documentation:
  • • Detailed description of fracture type and encounter

Applicable To

  • • Displaced fracture of humerus shaft
  • • Nondisplaced fracture of humerus shaft

Important Notes

  • • Ensure documentation specifies open vs closed and displaced vs nondisplaced.

Fracture of lower end of radius, right arm, initial encounter

Non-Billable
S52.5XXA
Non-Billable

Applicable To

  • • Colles' fracture
  • • Smith's fracture

Important Notes

  • • Document specific fracture type and treatment method.
Ancillary Codes

Additional codes that may be used with this diagnosis

M97.01XA

Periprosthetic fracture around internal prosthetic right elbow joint

Use when fracture occurs around a prosthetic joint.

Z47.89

Encounter for other orthopedic aftercare

Use for follow-up visits post-treatment.

Frequently Asked Questions

What is the ICD-10 code for a right arm fracture?

The ICD-10 code for a right arm fracture depends on the specific bone and type of fracture. For example, S42.3XXA is used for a fracture of the shaft of the humerus, right arm, initial encounter.

How do you document a right arm fracture?

Documentation should include the specific bone, fracture type, laterality, and encounter type. For instance, 'Displaced transverse fracture of the shaft of the right radius, initial encounter for closed fracture (S52.321A).'

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