ICD-10 Coding for Left Fibula Fracture(S82.402A, S82.642A)
Complete ICD-10-CM coding and documentation guide for Left Fibula Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Fibula Fracture
S82.4-S82.8Primary Range
Fractures of the fibula
This range includes all types of fibula fractures, including shaft and malleolus 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 |
|---|---|---|---|
| S82.402A | Unspecified closed fracture of shaft of left fibula, initial encounter | Use when the fracture is located in the shaft of the left fibula and is unspecified. |
|
| S82.642A | Nondisplaced fracture of left lateral malleolus, initial encounter | Use when the fracture is in the lateral malleolus and is nondisplaced. |
|
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 left fibula fracture
Essential facts and insights about Left Fibula Fracture
Primary ICD-10-CM Codes for left fibula fracture
Decision Criteria
clinical Criteria
- Fracture confirmed by imaging in the shaft of the fibula.
documentation Criteria
- Documented as a closed fracture.
Applicable To
- Closed fracture of left fibular shaft
Excludes
- Lateral malleolus fractures
- Medial malleolus fractures
Clinical Validation Requirements
- X-ray confirmation of fracture location
- Documentation of closed fracture status
Code-Specific Risks
- Risk of using this code for lateral malleolus fractures
Coding Notes
- Ensure fracture location is specified to avoid using unspecified codes.
S82.642A - Nondisplaced fracture of left lateral malleolus, initial encounter
Use when the fracture is in the lateral malleolus and is nondisplaced.
Applicable To
- Nondisplaced fracture of lateral malleolus
Excludes
- Displaced fractures
- Fractures involving the fibular shaft
Clinical Validation Requirements
- X-ray showing nondisplacement
- Stress view confirming stability
Coding Notes
Ensure nondisplacement is documented to use this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Left Fibula Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.402A.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific anatomical terms., Include imaging findings.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate medical records.
Mitigation Strategy
Ensure fracture location is specified as shaft or malleolus.
Impact
Using unspecified codes without justification.
Mitigation Strategy
Ensure documentation supports the use of unspecified codes.
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 Left Fibula Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Fibula Fracture
Use these documentation templates to ensure complete and accurate documentation for Left Fibula Fracture. These templates include all required elements for proper coding and billing.
Initial Encounter for Left Fibula Fracture
Specialty: OrthopedicsRequired Elements
- Patient history
- Mechanism of injury
- Imaging results
- Fracture location and type
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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