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v1.0.0
ICD-10 Guide
DiagnosesPubic Ramus Fracture

Pubic Ramus Fracture

ICD-10 Coding for Pubic Ramus Fracture(S32.51XA, S32.52XA)

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

Diagnosis Overview

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

Key Clinical Considerations:

  • Pain in the groin or pelvic area
  • Swelling and bruising around the hip or groin
  • Inability to bear weight on the affected leg

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 coding fractures based on location and type.
  • Common errors include misclassifying the fracture type or neglecting to document the mechanism of injury.

Code Exclusions

Important Exclusions

  • Pelvic ring fractures
  • Fractures of the acetabulum or other pelvic bones

Related ICD-10 Codes

Primary Codes
S32.1XXA
Fracture of pubic ramus, initial encounter for closed fracture
Ancillary Codes
Z87.81
Differential Codes
S32.602A

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Emergency Medicine

Specialty Applications

  • Adults, particularly older patients with osteoporosis
  • Emergency departments and urgent care settings

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

Documentation requirements?

Include detailed history, physical exam findings, and imaging results.

Billing considerations?

Ensure accurate coding to reflect the type of fracture and any associated procedures.