You are here

Xray Documentation

 

Xray Documentation ICD-10

Location: Right / Left; name of bone; specific location on bone (shaft, neck, base, condyle etc)
. Fracture pattern: transverse, oblique, spiral, comminuted, segmental, longitudinal, greenstick.  
Alignment: displaced or nondisplaced
. Result: routine healing, delayed healing, malunion, or nonunion.  
Classification:

LEO C. FAR traumatic fracture documentation
L Location and Laterality 


  • Right / Left; name of bone; specific location on bone (shaft, neck, base, condyle etc)

E Encounter

  • 
Initial or subsequent encounter

O Open or Closed

  • 
open or closed.

C Classification, Category, or Cause


  • open traumatic fracture = Gustilo classification of the fracture.
  • 
Physeal fracture = Salter-Harris classification.

  • Proximal Humerus = modified Neer classification

F Fracture pattern


  • Fracture pattern: transverse, oblique, spiral, comminuted, segmental, longitudinal, greenstick

A Alignment


  • displaced or nondisplaced

R Result


  • Routine healing, delayed healing, malunion, or nonunion 

Reference: Margaret M. Maley, BSN, MS, AAOS Now Nov 2013

Disclaimer

The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer