The code is valid during the fiscal year 2023 from Octothrough Septemfor the submission of HIPAA-covered transactions. For a subsequent admission, only code the injuries that meet the criteria in ACS 0001 Principal diagnosis or ACS 0002 Additional diagnoses. ICD-10-PCS What is the ICD 10 code for distal fibula fracture WebICD-10-CM Diagnosis Code S89.302A convert to ICD-9-CM Unspecified physeal fracture of. S82.62XA is a billable ICD-10 code used to specify a medical diagnosis of displaced fracture of lateral malleolus of left fibula, initial encounter for closed fracture. 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. 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. 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. 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: Closed fracture of distal physis of right fibula Right fibula physeal (lower leg bone) fracture ICD-10-CM S89.301A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 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. Some of the patients were treated conservatively and some of the others required surgical fixation to treat the injury. 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.Assignment of an ICD-10 code representative of a rotational. 560 Aftercare, musculoskeletal system and connective tissue with cc distal tibia fracture) from 2016 to 2020, selected by stratified random sampling. ![]() ![]() 559 Aftercare, musculoskeletal system and connective tissue with mcc Closed fracture of distal end of right tibia Right tibia (lower leg bone) fracture ICD-10-CM S82.301A is grouped within Diagnostic Related Group(s) (MS-DRG v 41.0). ![]() Short description: Unsp fracture of shaft of right fibula, init for clos fx The 2024 edition of ICD-10-CM S82.401A became effective on October 1, 2023. ICD-10-CM S82.391D is grouped within Diagnostic Related Group(s) (MS-DRG v41.0): S82.401A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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