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Describing pediatric fractures in the era of ICD-10

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Abstract

Childhood fractures are extremely common. The recent trend is to direct certain fracture care from orthopedic specialists to primary care clinicians. However, to confirm an appropriate level of treatment, the initial diagnosis must be accurate, the description precise, and the communication between those caring for the child consistent. This review illustrates descriptors used at one institution that are based on terminology consensually created between radiologists and orthopedic surgeons for common pediatric fracture types and their displacement, and that satisfy the expanded and detailed International Statistical Classification of Diseases and Related Health Problems (ICD)-10 requirements for successful coding.

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Acknowledgments

We would like to thank Alex Towbin, MD, for his work in creating the standard fracture report format and Marisela Camacho, CPC, coding analyst, for her assistance with understanding ICD-10 coding.

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Authors and Affiliations

  1. Department of Radiology, Boston Children’s Hospital, 300 Longwood Ave., Boston, MA, 02115, USA

    Tal Laor

  2. Division of Pediatric Orthopaedics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Roger Cornwall

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  1. Tal Laor
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Correspondence to Tal Laor.

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Laor, T., Cornwall, R. Describing pediatric fractures in the era of ICD-10. Pediatr Radiol 50, 761–775 (2020). https://doi.org/10.1007/s00247-019-04591-2

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