For example, a note in Chapter 19 indicates code(s) to specify the cause of the injury should be assigned as secondary code(s) from Chapter 20, External causes of morbidity (even though for this particular coding exercise, you are asked not to report for the external causes). S82.65XD is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ![]() The nonunion is a complication of the fracture.īefore making your final code selection, read all the instructional notes, including Includes, Excludes1, Excludes2, and Use additional. The patient was previously seen for fracture treatment and is now returning for subsequent care for the non-union. A fracture can be caused by a fall, a blow to the. ![]() Any assistance with the CPT code for the closed reduction of this fracture would be appreciated as well. When part of this bone fractures, the ankle can become unstable. 1 Need ICD assistance coding Distal fibula fracture with posterior malleolus fracture. Instead, aftercare of a traumatic fracture should be assigned the acute fracture code with the appropriate 7th character. The lateral malleolus is at the end of the fibula, a smaller bone in the leg. Open fractures are reported using the Gustilo-Grade Classification system (Types I, II, IIA, etc.).Īdditionally, aftercare Z codes should not be used for aftercare for traumatic fractures. Lateral malleolus fracture codes demonstrated the highest PPV (0.91, 95 CI 0.720.99), while the. ![]() Some fractures may require more detail depending on the site of the fracture. Aggregate agreement between all codes was fair (K 0.26). The coding guidelines also state that a fracture not indicated as displaced or nondisplaced should be coded as displaced. According to the ICD-10-CM Official Guidelines for Coding and Reporting, a fracture not indicated as open or closed should be coded as closed.
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