tci Part B Insider - 2010 Issue 40

Reader Questions: Focus on Bone, Not Joint, for 'Fracture'

Question: Is there a diagnosis code for an SI joint fracture?Answer: Not exactly. A patient can fracture a bone, but not a joint, so you need to check the documentation for the precise bone or bones involved.For a "sacroiliac (SI) joint fracture" consider the following possibilities: A sacral fracture at the SI joint (806.6x, Fracture of vertebral column with spinal cord injury; sacrum and coccyx, closed; or 805.6, Fracture of vertebral column without mention of spinal cord injury; sacrum and coccyx, closed) a fracture of the ilium (808.41, Fracture of pelvis; other specified part...

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