AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Quarter 4; ICD-10-CM NEW/REVISED CODES
Salter-Harris Fractures and Other Physeal Fractures of Foot and Ankle
New codes have been created to identify Salter-Harris physeal fractures and other physeal fractures of the ankle and foot. These codes are classified in category S99 , Other and unspecified injuries of foot and ankle. Physeal fractures are fractures that go through the growth plate in growing young people. Physeal fractures are classified into Salter-Harris fracture types (they are named for the authors who first described these fractures). Salter-Harris physeal fractures are classified as type I, type II, type III, type IV and type V. Type I Salter-Harris physeal fractures follow the growth plate, separating the epiphysis from the metaphysis...
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Article Overview
This article covers newly created ICD-10-CM classifications for Salter-Harris and other physeal fractures of the foot and ankle. It is intended for coding professionals, auditors, CDI teams, and clinicians who need a broad understanding of how these injuries are grouped within foot-and-ankle injury coding. The article reviews the general clinical context of physeal fractures, their relationship to Salter-Harris types, and the affected anatomic areas before outlining the new subcategory structure.
Why This Topic Matters
Foot and ankle physeal injuries are now represented more specifically in ICD-10-CM, which affects accurate injury classification and data capture. The article helps readers understand the scope of the new categories without relying on the premium text.
Article Sections
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Overview of physeal fractures
Introduces physeal fractures and explains their broad relationship to growth-plate injuries in younger patients. It also sets up the Salter-Harris framework used later in the article.
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Salter-Harris fracture types I through V
Summarizes the major Salter-Harris types and describes them at a high level. The section provides general clinical context for the classification system referenced throughout the article.
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Foot and ankle classification updates
Explains why additional ICD-10-CM categories were created for foot and ankle physeal injuries. It also identifies the anatomic areas covered by the new structure and presents the new subcategory groupings at a summary level.
What You Will Learn
- How physeal fractures are broadly classified in relation to Salter-Harris types
- Why foot and ankle injuries required additional ICD-10-CM specificity
- Which general anatomic areas are addressed by the new classification structure
- How the article organizes the new foot and ankle subcategories by fracture type
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation integrity professionals
- Physicians and other clinicians
- Health information management professionals
Codes Discussed
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