Wiki Sprain Same Site as Fracture

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Moses Lake, WA
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Hello,

The ICD-10-CM guidelines state, "Superficial injuries such as abrasion or contusion are not coded when associated with more severe injuries of the same site."
If a provider uses diagnosis codes:
(S63. 501A for Unspecified sprain of right wrist, initial encounter) and
(S62. 91XA: Unspecified fracture of right wrist and hand, initial encounter for closed fracture.)

Should I remove the sprain diagnosis code since it's on the same site as the fracture? Guidelines say we should remove superficial injuries such as an abrasion or contusion, but a sprain is an injury of the ligament.

Thank you!

Jen
 
Hello,

The ICD-10-CM guidelines state, "Superficial injuries such as abrasion or contusion are not coded when associated with more severe injuries of the same site."
If a provider uses diagnosis codes:
(S63. 501A for Unspecified sprain of right wrist, initial encounter) and
(S62. 91XA: Unspecified fracture of right wrist and hand, initial encounter for closed fracture.)

Should I remove the sprain diagnosis code since it's on the same site as the fracture? Guidelines say we should remove superficial injuries such as an abrasion or contusion, but a sprain is an injury of the ligament.

Thank you!

Jen
A sprain is internal, not superficial. Definitely code it, too.
 
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