ICD-10 Coding for Fibula Fracture(S82.64XA, S82.83XA)
Complete ICD-10-CM coding and documentation guide for Fibula Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fibula Fracture
S82.6-S82.8Primary Range
Fractures of the fibula
This range includes specific codes for fractures of different parts of the fibula, such as the lateral malleolus and proximal fibula.
Fracture of medial malleolus
Used when the fracture involves the medial malleolus, often in conjunction with fibula fractures.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S82.64XA | Displaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture | Use when the fracture is specifically located at the lateral malleolus and is displaced. |
|
| S82.83XA | Fracture of proximal fibula, initial encounter for closed fracture | Use when the fracture is located at the proximal fibula without ankle involvement. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for fibula fracture
Essential facts and insights about Fibula Fracture
Primary ICD-10-CM Codes for fibula fracture
Decision Criteria
clinical Criteria
- Presence of a displaced fracture at the lateral malleolus
documentation Criteria
- Clear documentation of laterality and displacement
Applicable To
- Displaced fracture of lateral malleolus
Excludes
- Fracture of medial malleolus (S82.5-)
Clinical Validation Requirements
- X-ray confirmation of lateral malleolus fracture
- Documentation of displacement and laterality
Code-Specific Risks
- Risk of using unspecified codes without confirming laterality
Coding Notes
- Ensure documentation specifies the fracture location and displacement.
S82.83XA - Fracture of proximal fibula, initial encounter for closed fracture
Use when the fracture is located at the proximal fibula without ankle involvement.
Applicable To
- Fracture of proximal fibula
Excludes
- Fracture of lateral malleolus (S82.64-)
Clinical Validation Requirements
- X-ray or CT scan showing fracture at the proximal fibula
- Documentation of fracture type and laterality
Coding Notes
Ensure documentation specifies the fracture location and absence of ankle involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fracture of medial malleolus
S82.5-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fibula Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.64XA.
Impact
Clinical: Can lead to incorrect treatment planning., Regulatory: May result in non-compliance with coding standards., Financial: Could cause claim denials or reduced reimbursement.
Mitigation Strategy
Always document the side of the body affected., Review imaging reports for confirmation.
Impact
Reimbursement: Incorrect coding can lead to claim denials or incorrect reimbursement., Compliance: Misreporting can result in compliance issues with coding standards., Data Quality: Impacts the accuracy of clinical data and patient records.
Mitigation Strategy
Ensure accurate documentation of fracture location and type before coding.
Impact
Using unspecified codes can trigger audits due to lack of specificity.
Mitigation Strategy
Ensure all documentation includes specific details about fracture location and laterality.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Fibula Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fibula Fracture
Use these documentation templates to ensure complete and accurate documentation for Fibula Fracture. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Fibula Fracture
Specialty: Emergency MedicineRequired Elements
- Patient demographics
- Mechanism of injury
- Fracture location and type
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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