ICD-10 Coding for Fracture of Right Ankle(S82.84XA, S82.64XA)
Complete ICD-10-CM coding and documentation guide for Fracture of Right Ankle. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fracture of Right Ankle
S82.8-S82.9Primary Range
Fractures of lower leg, including ankle
This range includes specific codes for fractures of the ankle, such as the medial and lateral malleolus.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S82.84XA | Displaced fracture of medial malleolus of right tibia, initial encounter for closed fracture | Use when imaging confirms a displaced fracture of the medial malleolus. |
|
| S82.64XA | Nondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture | Use when imaging confirms a nondisplaced fracture of the lateral malleolus. |
|
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 right ankle fracture
Essential facts and insights about Fracture of Right Ankle
Primary ICD-10-CM Codes for fracture right ankle
Decision Criteria
clinical Criteria
- X-ray shows displacement >2mm
documentation Criteria
- Explicit mention of medial malleolus involvement
Applicable To
- Displaced fracture of medial malleolus
Excludes
- Stress fracture of medial malleolus
Clinical Validation Requirements
- X-ray confirmation of displacement >2mm
- Documentation of medial malleolus involvement
Code-Specific Risks
- Incorrectly coding as nondisplaced
- Missing documentation of displacement
Coding Notes
- Ensure documentation specifies 'displaced' and 'medial malleolus'.
S82.64XA - Nondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture
Use when imaging confirms a nondisplaced fracture of the lateral malleolus.
Applicable To
- Nondisplaced fracture of lateral malleolus
Excludes
- Stress fracture of lateral malleolus
Clinical Validation Requirements
- X-ray confirmation of nondisplacement
- Documentation of lateral malleolus involvement
Coding Notes
Ensure documentation specifies 'nondisplaced' and 'lateral malleolus'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of (healed) fracture
Z87.81Differential 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 Fracture of Right Ankle to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.84XA.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Always specify the fracture location and type., Use imaging results to guide documentation.
Impact
Reimbursement: May result in denied claims due to lack of specificity., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records affecting clinical decisions.
Mitigation Strategy
Always include 'right' or 'left' in the documentation.
Impact
Coding fractures as displaced when they are not, or vice versa.
Mitigation Strategy
Use imaging reports to confirm fracture details before coding.
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 Fracture of Right Ankle, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Right Ankle
Use these documentation templates to ensure complete and accurate documentation for Fracture of Right Ankle. These templates include all required elements for proper coding and billing.
Emergency Department Evaluation of Ankle Fracture
Specialty: Emergency MedicineRequired Elements
- Mechanism of injury
- Physical exam findings
- Imaging results
- Neurovascular status
- Planned treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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