An inpatient falls on the unit and sustains a documented fracture that was not present on admission. How should the coding team approach this event from a quality-measure perspective?

In-hospital falls with injury are documentation- and coding-sensitive events for patient safety and quality programs. Coders should report the injury diagnoses and appropriate external-cause detail when documented, with correct POA reflecting onset after admission. Measure definitions vary, but suppressing clinically valid injury codes to improve scores violates ethical coding standards and undermines safety surveillance.