How do you code a Lisfranc injury with both fracture and dislocation?

For a Lisfranc injury with both fracture and dislocation, use S92.3- for the fracture and S93.32- for the dislocation, specifying laterality for both.

How do you code a Lisfranc injury with both fracture and dislocation?

For a Lisfranc injury with both fracture and dislocation, use S92.3- for the fracture and S93.32- for the dislocation, specifying laterality for both.

How do you code a Lisfranc injury with both fracture and dislocation?

For a Lisfranc injury with both fracture and dislocation, use S92.3- for the fracture and S93.32- for the dislocation, specifying laterality for both.

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ICD-10 Coding for Lisfranc Fracture(S92.3-, S93.32-)

Complete ICD-10-CM coding and documentation guide for Lisfranc Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Tarsometatarsal FractureMidfoot Fracture-Dislocation

Related ICD-10 Code Ranges

Complete code families applicable to Lisfranc Fracture

S92.3-Primary Range

Fracture of metatarsal bone(s)

This range includes fractures of the metatarsal bones, which are commonly involved in Lisfranc injuries.

S93.32-

Dislocation of tarsometatarsal joint

This range covers dislocations of the tarsometatarsal joint, often associated with Lisfranc injuries.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
S92.3-	Fracture of metatarsal bone(s)	Use when a fracture of one or more metatarsal bones is confirmed.	Radiographic evidence of fracture Clinical signs of midfoot pain and swelling
S93.32-	Dislocation of tarsometatarsal joint	Use when a dislocation of the tarsometatarsal joint is confirmed.	Imaging showing joint dislocation Physical exam indicating joint instability

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 Lisfranc fracture

Essential facts and insights about Lisfranc Fracture

The ICD-10 code for a Lisfranc fracture is S92.3-, which covers fractures of the metatarsal bones. Ensure laterality is specified for accurate coding.

Primary ICD-10-CM Codes for lisfranc fracture

S92.3-

Fracture of metatarsal bone(s)

Non-billable Code

Decision Criteria

clinical Criteria

Presence of fracture on imaging

documentation Criteria

Detailed description of fracture location and laterality

Applicable To

Fracture of any metatarsal bone

Excludes

Stress fracture of metatarsal (M84.37-)

Clinical Validation Requirements

Radiographic evidence of fracture
Clinical signs of midfoot pain and swelling

Code-Specific Risks

Ensure laterality is specified to avoid denials.

Coding Notes

Ensure documentation specifies the exact metatarsal(s) involved.

View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Dislocation of tarsometatarsal joint

S93.32-

Use in conjunction with S92.3- if both fracture and dislocation are present.

Fracture of metatarsal bone(s)

S92.3-

Use in conjunction with S93.32- if both fracture and dislocation are present.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Stress fracture of metatarsal

M84.37-

Stress fractures are overuse injuries, not traumatic.

Fracture of metatarsal bone(s)

S92.3-

Fractures involve bone disruption, dislocations involve joint displacement.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Lisfranc Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S92.3-.

Impact

Clinical: Ambiguity in treatment location, Regulatory: Non-compliance with ICD-10 requirements, Financial: Potential claim denials

Mitigation Strategy

Always document laterality in clinical notes, Use templates that prompt for laterality

Impact

Reimbursement: May lead to overbilling and denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of clinical scenario.

Mitigation Strategy

Do not report separate fracture codes if they are part of the dislocation repair.

Impact

Missing details like laterality or specific joint involved can lead to audit issues.

Mitigation Strategy

Use comprehensive templates and checklists to ensure all required information is documented.

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 Lisfranc Fracture, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Lisfranc Fracture

Use these documentation templates to ensure complete and accurate documentation for Lisfranc Fracture. These templates include all required elements for proper coding and billing.

Operative report for Lisfranc injury

Specialty: Orthopedic Surgery

Required Elements

Type of injury (fracture, dislocation)
Surgical approach (open, closed)
Fixation method (screws, plates)
Imaging findings

Example Documentation

Open reduction via dorsal incisions, fixation with screws and plates, confirmed alignment with fluoroscopy.

Examples: Poor vs. Good Documentation

Poor Documentation Example

Reduced Lisfranc dislocation and fixed fractures.

Good Documentation Example

Open reduction via dual dorsal incisions (1st-2nd and 4th-5th intermetatarsal spaces). Stabilized 1st TMT joint with 3.5 mm cortical screw and 2nd-3rd TMT joints with locking plate. Confirmed anatomic alignment intraoperatively with fluoroscopy.

Explanation

The good example provides detailed surgical approach, fixation methods, and confirms alignment, which are necessary for accurate coding and billing.

Need help with ICD-10 coding for Lisfranc Fracture? Ask your questions below.

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ICD-10 Coding for Lisfranc Fracture(S92.3-, S93.32-)

Quick Navigation

Related ICD-10 Code Ranges

S92.3-Primary Range

S93.32-

Code Comparison: When to Use Each Code

Clinical Decision Support

Key Information: ICD-10 code for Lisfranc fracture

Primary ICD-10-CM Codes for lisfranc fracture

Decision Criteria

clinical Criteria

documentation Criteria

Applicable To

Excludes

Clinical Validation Requirements

Code-Specific Risks

Coding Notes

S93.32- - Dislocation of tarsometatarsal joint

Applicable To

Excludes

Clinical Validation Requirements

Coding Notes

Ancillary Codes

Differential Codes

Documentation & Coding Risks

Omitting laterality in documentation

Impact

Mitigation Strategy

Incorrectly coding metatarsal fractures separately when part of dislocation repair.

Impact

Mitigation Strategy

Incomplete documentation

Impact

Mitigation Strategy

Frequently Asked Questions

Documentation Templates for Lisfranc Fracture

Operative report for Lisfranc injury

Required Elements

Example Documentation

Examples: Poor vs. Good Documentation

Poor Documentation Example

Good Documentation Example

Explanation

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Helpful Links

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