![]() For a subsequent admission, only code the injuries that meet the criteria in ACS 0001 Principal diagnosis or ACS 0002 Additional diagnoses. Please note that as per ACS 1907 Multiple injuries, in the initial admission all documented injuries must be coded. To code the unstable ankle injury, if there is no further specificity of the type of unstable ankle injury (eg sprain), assign S99.8 Other specified injuries of ankle and foot following the Index entry Injury (traumatic) (see also specified injury type)/ankle/specified NEC. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S89.312A. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S82.424K. Therefore, as there is no Index entry for Maisonneuve fracture, the documented components of the injury must be coded separately.įor the fibula fracture VICC advises to use radiology or review other parts of the clinical record to verify the specific site(s) of fibula fracture and then follow appropriate Index entries under lead term Fracture/fibula to assign the correct code. ICD 10 code for Salter-Harris Type I physeal fracture of lower end of left fibula, initial encounter for closed fracture. ICD 10 code for Nondisplaced transverse fracture of shaft of right fibula, subsequent encounter for closed fracture with nonunion. VICC research also confirms that ankle syndesmosis injury is a sprain of the ligaments in the ankle, therefore VICC advises to follow the Index entry Sprain, strain (joint) (ligament)/ankle to assign a code from S93.4- Sprain and strain of ankle.įurther research by VICC confirms that Maisonneuve fracture is defined as a spiral fracture of the proximal third of the fibula with unstable ankle injury and that the unstable ankle injury may involve fracture of the distal fibula. Short description: Sprain of tibiofibular ligament of unsp ankle, init encntr The 2023 edition of ICD-10-CM S93.439A became effective on October 1, 2022. We also researched a Maisonneuve fracture and it refers to a combination of a fracture of the proximal fibula together with an unstable ankle injury (widening of the ankle mortise on x-ray), often comprising ligamentous injury (distal tibiofibular syndesmosis, deltoid ligament) and/or fracture of the medial malleolus.Ĭan the committee please what codes should be assigned for: S93.439A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ![]() Our research indicates that an ankle syndesmosis injury is a sprain of the syndesmotic ligaments that connect the tibia and fibula in the lower leg. We have also had a patient with the diagnosis of Maisonneuve fracture and he underwent an ORIF of ankle syndesmosis. Short description: Displaced oblique fracture of shaft of left fibula, init The 2024 edition of ICD-10-CM S82.432A became effective on October 1, 2023. Some of the patients were treated conservatively and some of the others required surgical fixation to treat the injury. S82.432A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ![]() 561 Aftercare, musculoskeletal system and connective tissue without cc/mccĬonvert S82.This year we have seen an increasing number of footballers admitted to our hospital with a diagnosis of ankle syndesmosis injury. ICD-10-CM Codes S00-T88 S80-S89 S82- Fracture of lower end of tibia S82.3 Fracture of lower end of tibia S82.Nondisp oblique fx shaft of r fibula, 7thD The 2023 edition of ICD-10-CM S82.434D became effective on October 1, 2022. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S82.434D. 560 Aftercare, musculoskeletal system and connective tissue with cc Fibula Fracture: Types, Treatment, Recovery, and WebICD-10 code S82.111 for Displaced fracture of right tibial spine is a medical. ICD 10 code for Nondisplaced oblique fracture of shaft of right fibula, subsequent encounter for closed fracture with routine healing.559 Aftercare, musculoskeletal system and connective tissue with mcc.ICD-10-CM S82.64XD is grouped within Diagnostic Related Group(s) (MS-DRG v41.0): S82.64XD is considered exempt from POA reporting."Present On Admission" is defined as present at the time the order for inpatient admission occurs - conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
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