Medical Coding

Category - ICD-10-CM Volumes 1 and 2

A patient fell off of a horse and broke her right wrist. She had it x-rayed and it was noted that it was a non-displaced fracture of the scaphoid bone of the right wrist and it was casted in the emergency department. What ICD-10-CM codes should be used for this incident?
  1. S62.04A, V80.010D, Y93.52
  2. S62.04D, V80.010S, Y93.52
  3. S62.04S, V80.010A
  4. S62.04A, V80.010A, Y93.52
Explanation
Answer: D - A62.04A, V80.010A, Y93.52 is the correct ICD-10-CM code sequence for this patient encounter. Code A62.04A is the correct code for initial encounter of right wrist fracture of the scaphoid bone. Code V80.010A is the correct code for the initial encounter of animal-rider injured by fall from or being thrown from a horse in a non-collisional accident. Code Y93.52 is the correct code for the activity of horseback riding.

The important distinction between all of the codes listed above is the seventh character designation. “A” is for initial encounter, “D” is for subsequent encounter, and “S” is for sequela. This patient came to the ER for an initial encounter so subsequent or sequela encounters are incorrect.
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