ix PEDIATRIC ICD-10-CM 2022: A MANUAL FOR PROVIDER-BASED CODING How to Use This Manual Step 1. Locate the condition in the Alphabetic Index of diagnostic terms (ie, the front section). For example, for a left ankle fracture of the medial malleolus, go to Fracture ankle medial malleolus The dash at S82.5- indicates further characters are needed. Step 2. Next, find the code in the Tabular List (never code from the index). Check the Tabular List at the block, chapter, category, and code levels to see if the code has any special considerations. Read any code instructions, if applicable. Step 3. The indicates that additional code characters are required for this diagnosis. Always code to the highest degree of specificity, including laterality. Step 4. If the condition warrants further specificity, an additional character note will be added. For example, an injury code may require a seventh character. Refer to a box on that page or nearby to provide you with that additional information. Step 5. If more than one condition needs to be coded, check all notes, including Excludes, Code also, and Code first. 5th 7th characters for category S82 except S82.16-, S82.31-, S82.81, & S81.82 A initial encounter for closed fracture B initial encounter for open fracture type I or II C initial encounter for open fracture NOS D subsequent encounter for closed fracture with routine healing E subsequent encounter for open fracture type I or II with routine healing G subsequent encounter for closed fracture with delayed healing H subsequent encounter for open fracture type I or II with delayed healing K subsequent encounter for closed fracture with nonunion M subsequent encounter for open fracture type I or II with nonunion P subsequent encounter for closed fracture with malunion Q subsequent encounter for open fracture type I or II with malunion S sequela ICD-10_2022.indb 9 8/12/21 4:20 PM
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