2025 ICD-10-CM code W50.2XXA

This ICD-10-CM code classifies an accidental twist inflicted by another person during the initial encounter for this injury.

Always code the injury sustained with an additional code from another chapter, usually Chapter 19. Ensure that the seventh character accurately reflects the encounter (A for initial, D for subsequent, S for sequela).

The medical necessity is established by the presence of an injury directly resulting from an accidental twist by another person, requiring medical evaluation and treatment.The need for medical care is evident in the nature and severity of the injury sustained.

The clinical responsibility involves documenting the mechanism of injury (accidental twist by another person) and the nature of the injury (to be coded separately) as well as the appropriate level of care for the presenting injury. The physician should also note the patient's history relevant to the accident and subsequent injury.

IMPORTANT Related codes include W50.2XXD (subsequent encounter) and W50.2XXS (sequela).The injury sustained would require a separate code from another chapter, most commonly Chapter 19 (Injury, poisoning and certain other consequences of external causes).

In simple words: This code is used when someone accidentally twists another person's body part, causing an injury.It's used for the first time this injury is treated by a doctor.

W50.2XXA is an ICD-10-CM code that specifies an accidental twist inflicted by another person, documented during the initial encounter for treatment.This code is used to classify the external cause of the injury, not the nature of the injury itself.The injury itself would be coded with a separate code from another chapter (most often Chapter 19).'XX' represents the seventh character which specifies the injury's place of occurrence, and 'A' indicates the initial encounter.

Example 1: A child playing is accidentally twisted by another child during a game, resulting in a sprained wrist. W50.2XXA would code the external cause of injury, while a separate code would be used to represent the sprained wrist itself., During a crowded event, an individual is accidentally twisted by another person in the crowd resulting in a shoulder dislocation. This would require a separate code (from Chapter 19) for the shoulder dislocation. , A patient is participating in a physical therapy session when their limb is accidentally twisted by a therapist, leading to a strain.W50.2XXA describes the circumstance causing the injury.Another code from Chapter 19 is necessary to describe the muscle strain.

Complete documentation should include a detailed description of the event leading to the injury, specifying that it was an accidental twist by another person.The nature and location of the injury must be precisely documented.The date and time of the injury and the initial encounter should also be clearly recorded.Any treatment provided, including imaging studies or physical examination findings, should be thoroughly documented.Consideration should be given to coding any resulting injuries with additional codes.

** This code is for accidental twists, not intentional acts such as assault (Y04).Codes from chapter W20-W22 should be used for injuries caused by being struck by an object.

  • Payment Status: Active
  • Specialties:Emergency Medicine, Orthopedics, Family Medicine
  • Place of Service:Emergency Room - Hospital, Office, Urgent Care Facility
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