ICD-10 Coding for Fracture of Right Fibula(S82.831A, S82.641A)
Complete ICD-10-CM coding and documentation guide for Fracture of Right 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 Fibula
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S82.831A | Other fracture of upper and lower end of right fibula, initial encounter for closed fracture | Use for fractures of the fibula not involving the ankle joint. |
|
| S82.641A | Nondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture | Use when the fracture involves 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 fibula fracture
Essential facts and insights about Fracture of Right Fibula
Primary ICD-10-CM Codes for fracture right fibula
Decision Criteria
clinical Criteria
- Fracture not involving the ankle joint
documentation Criteria
- Explicit mention of 'closed' fracture
Applicable To
- Proximal fibular shaft fracture
- Distal fibular shaft fracture
Excludes
- Lateral malleolus fracture
- Combined tibia and fibula fractures
Clinical Validation Requirements
- X-ray confirmation of fracture location
- Documentation of closed fracture
Code-Specific Risks
- Confusion with lateral malleolus fractures
- Incorrect use for open fractures
Coding Notes
- Ensure documentation specifies the exact location and type of fracture.
S82.641A - Nondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture
Use when the fracture involves the lateral malleolus.
Applicable To
- Isolated lateral malleolus fracture
Excludes
- Fractures not involving the ankle joint
Clinical Validation Requirements
- X-ray confirmation of lateral malleolus involvement
Coding Notes
Ensure imaging confirms lateral malleolus involvement.
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.
Nondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture
S82.641AOther fracture of upper and lower end of right fibula, initial encounter for closed fracture
S82.831ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fracture of Right Fibula to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.831A.
Impact
Clinical: Potential for incorrect treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Delayed reimbursement due to coding queries.
Mitigation Strategy
Always document 'right' or 'left' for fractures., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Use S82.641A when the fracture involves the lateral malleolus.
Impact
Incorrect coding of fibula fractures can lead to audit findings.
Mitigation Strategy
Implement regular training on fracture coding and 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 Fibula, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Right Fibula
Use these documentation templates to ensure complete and accurate documentation for Fracture of Right Fibula. These templates include all required elements for proper coding and billing.
Initial encounter for right fibula fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Fracture type and location
- Neurovascular status
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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