S32.612A — Displaced avulsion fracture of left ischium, initial encounter for closed fracture
S32.612A is a billable, specific ICD-10-CM code for displaced avulsion fracture of left ischium, initial encounter for closed fracture. It is valid for submission on a claim.
7th character "A" — initial encounter for closed fracture
The appropriate 7th character is to be added to each code from category S32
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- S
- sequela
Risk adjustment
S32.612A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 402 Hip Fracture/Dislocation0.467 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
S32.612A is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56777Billing and Coding: Total Joint Arthroplasty
- A57206Billing and Coding: Lumbar MRI
- A57311Billing and Coding: Physical Therapy - Home Health
Related codes at this level
Codes that share S32.612. If S32.612A is not quite right, the correct code is usually one of these.
- S32.612BDisplaced avulsion fracture of left ischium, initial encounter for open fracture
- S32.612DDisplaced avulsion fracture of left ischium, subsequent encounter for fracture with routine healing
- S32.612GDisplaced avulsion fracture of left ischium, subsequent encounter for fracture with delayed healing
- S32.612KDisplaced avulsion fracture of left ischium, subsequent encounter for fracture with nonunion
- S32.612SDisplaced avulsion fracture of left ischium, sequela
Questions about S32.612A
- Is S32.612A a billable ICD-10-CM code?
- Yes. S32.612A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S32.612A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39).