Left Wrist Scaphoid Fracture ICD 10 Codes List

Touseef Riaz

February 23, 2022

Scaphoid fracture occurs in one of the wrist’s small bones. There can be a number of reasons behind this fracture, common of which is an accident or a fall. Symptoms of the fracture worsen if you pinch or hold anything. Typically, one feels tenderness and pain in the affected area, i.e., the base of the thumb. 

List of Left Wrist Scaphoid Fracture ICD 10 Codes:

ICD-10-CM code: S62.0 for fracture of scaphoid bone of the wrist for 2022 has been effective since October 1st, 2021. 

S62 is the ICD-10-CM code for fracture at the wrist and hand level. This code is further divided into sub-categories, including S62.0 to S62.3, S62.5, S62.6 & S62.9 for several fractures related to wrist and hand level.  S62.0 is the ICD-10-CM code for the fracture related to the scaphoid bone of the wrist. This sub-category code also contains various other codes related to the kind of fracture (Unspecified, displaced, and nondisplaced), location of the fracture (distal pole, middle third, and proximal third), and healing process (routine healing or delayed healing).  However, the S62.0 code can’t be used for reimbursement purposes, and it is not a billable code as it contains several other codes containing a wide range of detail to them. Following is the list of the codes of ICD-10 occult fracture of scaphoid left wrist 2022: Left-Wrist-Scaphoid-Fracture-ICD-10-Codes

  • Nondisplaced fracture left scaphoid wrist ICD-10 codes for distal pole: –

These codes include the ICD-10-CM code for left wrist scaphoid for fracture with nonunion, malunion, open or closed fractures. Codes include: – 015 Nondisplaced fracture of distal pole of navicular [scaphoid] bone of the left wrist

    • 015A …… initial encounter for closed fracture
    • 015B …… initial encounter for open fracture
    • 015D …… subsequent encounter for fracture with routine healing
    • 015G …… subsequent encounter for fracture with delayed healing
    • 015K …… subsequent encounter for fracture with nonunion
    • 015P …… subsequent encounter for fracture with malunion
    • 015S …… sequela
  • Nondisplaced fracture left scaphoid wrist ICD-10-CM codes for middle third: –

S62.025 Nondisplaced fracture of middle third of navicular [scaphoid] bone of the left wrist

    • 025A …… initial encounter for closed fracture
    • 025B …… initial encounter for open fracture
    • 025D …… subsequent encounter for fracture with routine healing
    • 025G …… subsequent encounter for fracture with delayed healing
    • 025K …… subsequent encounter for fracture with nonunion
    • 025P …… subsequent encounter for fracture with malunion
    • 025S …… sequela

But before we further dive into the signs, symptoms, and causes, understanding the anatomy is also important. Scaphoid bone plays a vital role in keeping the wrist joint stable and also helps in motion. The scaphoid is the small bone present at the base of both our hands – the wrist. In general, two forearm bones (radius and ulna) and eight carpal bones combine to make the wrist. These eight bones are arranged in two rows, with four on each side. The scaphoid is one of the small carpal bones present on the thumb side of the wrist. 

Classification of the Scaphoid Fracture:

The location of the fracture typically describes the scaphoid fracture. These fractures are classified based on the severity, i.e., the extent to which the bone has displaced from its original or normal position. 

1.     Nondisplaced Scaphoid Fracture:

The condition in which bone fragments of the scaphoid are in the correct line-up. 

2.     Displaced Scaphoid Fracture: –

The condition in which bone fragments are not in their normal position anymore. These fragments are either overlapping each other or have several gaps among them.  The scaphoid bone is also known as the carpal navicular. It is also one of the most common injuries or fractures and yet the most difficult one to catch. The scaphoid fracture doesn’t usually cause any visible swelling or severe pain in the affected area, which is why this fracture usually gets ignored.  A scaphoid fracture is a common injury resulting in patients seeing their physicians. Usually, patients show up with pain around the wrist area. The fracture is often diagnosed by performing X-Rays or MRIs. 

What are the symptoms of Scaphoid Fracture?

Patients typically show up with pain in the wrist area of an outstretched hand caused due to a fall. Swelling or pain in the affected area, i.e., the thumb area of the wrist, is one of the most common symptoms of a scaphoid fracture. There are no other visible or noticeable symptoms like swelling, limited range of motion, etc. 

Diagnosing the Scaphoid Fracture:

The first step in diagnosing a scaphoid fracture is a physical exam. The healthcare provider usually checks for any kind of swelling, loss of motion in the wrist, or bruising (if any) present at the pain site. A scaphoid fracture is also known as an Occult Fracture, and it is the kind of fracture that is not visible on an X-Ray. Usually, an X-ray is advised by the healthcare physician in order to diagnose the scaphoid fracture. The doctor often recommends the splint for the patient to wear in order to be safe. However, MRIs or CT scans show the alignment or the shape of the scaphoid in a better manner.

What is ICD-10?

ICD stands for International Classification of Diseases. ICD-10 is the tenth revision, clinical modification, of this system. This framework is used by medical professionals, physicians, and other healthcare providers in order to code the healthcare services (including symptoms, examination, diagnosis, treatment, and procedures performed) provided by them in the United States.  ICD-10-CM is a coding system authorized and published by WHO (World Health Organization) and is based on the International Classification of Diseases, similar to its predecessor, ICD-9-CM.

What is the importance of using ICD-10?

ICD-10-CM codes provide more detailed information of a patient’s condition. ICD-9 codes didn’t have the capacity to expand as most of the categories in this framework were already full. Based on which the ICD-10-CM coding system was launched, it provides more detailed and specific information than that of the ICD-9-CM. ICD-10-CM codes are alphanumeric unlike the ICD-9-CM code set, containing about 3 to 7 characters e.g., S62.0; ICD-10-CM code for fracture of scaphoid bone of the wrist 2022.

What is the need for ICD-10 codes? 

When discussing the Left Wrist Scaphoid Fracture ICD 10 code, we must know why we exactly need these ICD 10 codes guidelines. The ICD-10 code set was basically created to match the pace of change in healthcare technology and advancement in treatments. It contains a total of about over 70,000 codes. ICD-10-CM codes are classified into various sub-categories. There are two major classifications of the ICD-10 coding system used these days, 

  • The ICD-10-CM, Clinical Modification (Diagnosis Codes)
  • ICD-10-PCS. Procedure Coding System (Procedure Codes)

These codes specifically help doctors identify the severity of the disease. They also play a vital role in reimbursement purposes. Following are the benefits of ICD-10-CM codes for the doctors:

  • Lesser errors in medication
  • Helps improve the treatment options
  • Plays a vital role in medical coding and billing for reimbursement purposes.

Frequently Asked Questions (FAQs)

What is left wrist scaphoid fracture ICD-10? 

The Left Wrist Scaphoid Fracture ICD 10 code is S62.0 ICD-10-CM code. This code is further divided into several sub-codes depending on the location (left or right hand), fracture type, and bone type under various other conditions. S62.015 ICD-10-CM code is for the nondisplaced fracture of the distal pole of the scaphoid bone of the left wrist (further divided into several other codes).

What is coding and billing in the left wrist scaphoid fracture ICD-10?

S62.0 is a non-billable or non-specific code for fracture of scaphoid bone of the wrist as it contains a wide range of sub-codes that are more specific and provide more detail regarding the problem or condition. ICD-10 codes help the insurance providers in identifying the reason or medical necessity behind performing the healthcare provided by the physician or the healthcare provider. These codes play a vital role in medical billing and coding as well.

What left wrist scaphoid fracture ICD-10 do?

A scaphoid bone is one of the small eight carpal bones present in the wrist. The scaphoid is one of the most common fractures that often goes unnoticed. Patients usually show up with pain in the wrist. S62.002A is an ICD-10-CM code for unspecified fracture of the scaphoid bone of the left wrist with an initial encounter for closed fracture. This code is a billable or specific code that can be used for reimbursement purposes. ICD-10-CM coding system is the tenth revision of ICD codes and is authorized by World Health Organization (WHO).

What are some of the most common left wrist scaphoid fracture ICD-10 errors?

The most common left wrist scaphoid fracture ICD-10 errors are:

  1. 015A …… initial encounter for closed fracture
  2. 015B …… initial encounter for open fracture
  3. 015D …… subsequent encounter for fracture with routine healing
  4. 015G …… subsequent encounter for fracture with delayed healing
  5. 015K …… subsequent encounter for fracture with nonunion
  6. 015P …… subsequent encounter for fracture with malunion
  7. 015S …… sequela

ICD-10-CM coding system contains a number of codes with various other sub-categories. The major Left Wrist Scaphoid Fracture ICD 10 categories like S62.0 or S62.00 themselves aren’t billable or specific codes. They cannot be used for reimbursement purposes. Understanding how and where to use these codes is highly crucial. Another most important thing is to use the updated version of the ICD-10 coding system. 2022’s S62.0 ICD-10-CM coding edition has been effective since October 1st, 2021. Note that coding versions can differ from country to country. 

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