Blackhorse Posted Tue 03rd of September, 2019 12:46:59 PM
Patient slipped and twisted his ankle. He has pain on the outside of his ankle. He had difficulty ambulating. He complained pain on the lateral aspect of his right ankle. X-ray shows a minimally gaped right distal fibular fracture. The AP and the mortise views show that the medial joint space is maintained. Doctor's diagnosis is "right distal fibular fracture" How do I code ICD-10. My colleague uses S82.831A but I don't think it is correct as its for the upper and lower end of right fibular. We are looking for a code that should only for the lower end of the right fibular.
SuperCoder Answered Wed 04th of September, 2019 04:37:07 AM
Thanks for your question.
When we search the code via index, it takes us as to code S82.831A as follows:
Fracture ⇒ Fibula ⇒ Lower end ⇒ Specified NEC S82.83 ⇒ S82.831A
But this code says (Other fracture of upper and lower end of fibula), which means you may report this only when there is fracture of both upper and lower end of fibula.
Now, since the injury was had on ankle and we know that lower end of fibula is known as lateral malleolus (ankle). So, we may search the code via index in the following manner:
Fracture ⇒ Ankle ⇒ Lateral malleolus ⇒ Nondisplaced S82.6 ⇒ S82.64XA
But it is not mentioned that the patient had lateral malleolus fracture. Therefore, we request you to go through medical record and see that if it was a lateral malleolus fracture, then the correct code would be S82.64XA (Nondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture).
Please feel free to write if you have any question.