ICD-10 Coding for Fracture of Right Distal Fibula(S82.641A, S82.841A)
Complete ICD-10-CM coding and documentation guide for Fracture of Right Distal Fibula. 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 Distal Fibula
S82.6-S82.8Primary Range
Fractures of lower leg, including ankle
This range includes specific codes for fractures of the fibula, including the lateral malleolus and other specified parts.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S82.641A | Nondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture | Use when the fracture is nondisplaced and confirmed by imaging with no widening of the medial clear space. |
|
| S82.841A | Other fracture of right fibula, initial encounter for closed fracture | Use for fractures that are not confined to the lateral malleolus or present with complex patterns. |
|
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 distal fibula fracture
Essential facts and insights about Fracture of Right Distal Fibula
Primary ICD-10-CM Codes for fracture right distal fibula
Decision Criteria
clinical Criteria
- Fracture line ≤2 mm displacement and no medial clear space widening
Applicable To
- Nondisplaced fracture of right lateral malleolus
Excludes
- Open fracture of lateral malleolus
Clinical Validation Requirements
- X-ray confirmation of fracture line ≤2 mm displacement
- No medial clear space widening (<4 mm on stress views)
Code-Specific Risks
- Misclassification if displacement is not accurately measured.
Coding Notes
- Ensure laterality is documented as 'right' and confirm fracture type as nondisplaced.
S82.841A - Other fracture of right fibula, initial encounter for closed fracture
Use for fractures that are not confined to the lateral malleolus or present with complex patterns.
Applicable To
- Comminuted fracture of right fibula
- Oblique fracture of right fibula
Excludes
- Nondisplaced fracture of lateral malleolus
Clinical Validation Requirements
- Fracture extends beyond lateral malleolus into distal shaft
- Atypical fracture patterns
Coding Notes
Document fracture pattern and any associated ligamentous injuries.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Ligamentous injury of ankle
S93.4-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Other fracture of right fibula, initial encounter for closed fracture
S82.841ANondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture
S82.641ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fracture of Right Distal Fibula to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.641A.
Impact
Clinical: Leads to ambiguity in treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always include laterality in the diagnosis.
Impact
Reimbursement: Incorrect coding can lead to denied claims or incorrect reimbursement., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts the accuracy of clinical data and patient records.
Mitigation Strategy
Ensure accurate anatomical documentation and use specific codes for lateral malleolus.
Impact
Using unspecified codes when specific codes are available.
Mitigation Strategy
Educate coders on specific code usage and ensure thorough documentation.
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 Distal Fibula, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Right Distal Fibula
Use these documentation templates to ensure complete and accurate documentation for Fracture of Right Distal Fibula. These templates include all required elements for proper coding and billing.
Emergency Department Note
Specialty: OrthopedicsRequired Elements
- Location of fracture
- Mechanism of injury
- Imaging results
- Stability assessment
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Fracture of Right Distal Fibula? Ask your questions below.