• In ICD 10 there are over 17,000 different codes for fractures
  • To ensure accurate code assignment, the following details should be documented when known:
      • Location and laterality
        i. Bone involved
        ii. Location on bone: proximal, middle, distal shaft
        iii. Right or left side if applicable
      • Open vs. closed fracture
      • Classifications
        i. Salter-Harris classification for involvement of epiphyseal plate (growth plate)
        ii. Gustilo classification for open fractures
        iii. Pelvic fracture: documentation of zone
      • Pattern
        i. Greenstick, spiral, comminuted, segmental, longitudinal or
      • Alignment
        i. Displaced or non-displaced
      • Underlying bone disease
        i. Healthy bone
        ii. Pathologic: osteoporosis, neoplasm, etc. (often missed)

        • LINK “Fracture due to osteoporosis” when appropriate
      • Healing status
        i. Routine, delayed, nonunion
      • Etiology or cause of fracture
        i. Traumatic, pathologic, drug induced, etc.

Download the complete tip, Fractures.