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v1.0.0
ICD-10 Guide
DiagnosesFracture Pubic Ramus

Fracture Pubic Ramus

ICD-10 Coding for Fracture of Pubic Ramus(S32.501A, S32.502A)

PRIMARY SPECIALTYEmergency Medicine
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Fracture Pubic Ramus?
Essential facts and insights about Fracture of Pubic Ramus

Key Clinical Considerations:

  • Pain in the groin or pelvic area
  • Swelling and bruising over the pubic region
  • Difficulty walking or bearing weight on the affected side

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including mechanism of injury
  • Imaging results (X-ray, CT scan) confirming fracture
  • Assessment of associated injuries or complications

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for distinguishing between closed and open fractures.
  • Common errors include misclassifying the fracture type or neglecting to document the encounter type.

Code Exclusions

Important Exclusions

  • Fractures of the acetabulum
  • Fractures of the ischium or ilium

Related ICD-10 Codes

Primary Codes
S32.1XXA
Fracture of pubic ramus, initial encounter for closed fracture
Ancillary Codes
S32.1XXA
S32.4XXA
Differential Codes
S32.509A

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Emergency Medicine

Specialty Applications

  • Elderly patients with low-energy falls
  • Athletes with high-energy trauma

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document the mechanism of injury, physical exam findings, and imaging results.

What are the billing considerations?

Ensure accurate coding based on the type of fracture and any associated procedures.