Table 25 should ALWAYS be referenced when coding fractures and aftercare in the home health setting The incorrect pairing of a fracture code with an aftercare code can cause reimbursement loss for your agency. Click here to view the table: Table 25 Fx and V codes
ICD-10 Fracture Coding Tidbit:
Coding aftercare for fractures in ICD-10 will not require the use of a V code for aftercare. The fracture code is made up of 7 characters, with the 7th character notating the episode of care.
The 7th character options for each fracture code include the following:
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
P: Subsequent encounter for fracture with malunion
S: Sequela
*Notice that the fracture codes will include laterality, open/closed, healing/nonhealing, nonunion/malunion, sequela (late effects)*
Example: Patient admitted into home health for aftercare of a right foot fracture.
M1010: S92.901A
M1016: S92.901A
M1022: S92.901D
