M12531 Traumatic arthropathy right wrist S62014S Nondisplaced fracture of

M12531 traumatic arthropathy right wrist s62014s

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M12.531 Traumatic arthropathy, right wrist S62.014S Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist, sequela V00.131S Fall from skateboard, sequela Explanation: The code identifying the specific sequela condition (traumatic arthritis) should be coded first followed by the injury that instigated the development of the sequela (fracture). The scaphoid fracture injury code is given a 7th character S for sequela to represent its role as the inciting injury. The fracture has healed and is not being managed or treated on this admit and therefore is not applicable as a first listed or principal diagnosis. However, it is directly related to the development of the arthritis and should be appended as a secondary code to signify this cause and effect relationship. 11-year-old girl fell from her horse, resulting in a laceration to her right forearm with several large pieces of wooden fragments embedded in the wound as well as abrasions to her right ear; in addition, her right shoulder was dislocated S43.004A Unspecified dislocation of right shoulder joint, initial encounter S51.821A Laceration with foreign body of right forearm, initial encounter S00.411A Abrasion of right ear, initial encounter V80.010A Animal-rider injured by fall from or being thrown from horse in noncollision accident, initial encounter Y93.52 Activity, horseback riding Explanation: Each separate injury should be reported. The patient’s injury to the forearm is reported with one combination code that captures both the laceration and the foreign body.
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Guidelines and Examples Chapter 19. Injury, Poisoning and Certain Other Consequences of External Causes ICD-10-CM 2017 Chapter 19. Injury, Poisoning and Certain Other Consequences of External Causes 474 ICD-10-CM 2017 A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced. More specific guidelines are as follows: 1) Initial vs. subsequent encounter for fractures Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion. Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase. Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes. Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).
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