ICD-10 Coding for Lisfranc Injury(S93.324A, S93.325A)
Complete ICD-10-CM coding and documentation guide for Lisfranc Injury. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lisfranc Injury
S93.32Primary Range
Subluxation and dislocation of tarsometatarsal joint
This range covers the primary codes for Lisfranc injuries involving dislocation or subluxation of the tarsometatarsal joint.
Sprain of tarsometatarsal ligament
This range is used for ligamentous injuries of the tarsometatarsal joint without dislocation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S93.324A | Subluxation/dislocation of tarsometatarsal joint, right foot, initial encounter | Use for confirmed dislocation/subluxation on weight-bearing X-ray/CT with midfoot instability. |
|
| S93.325A | Subluxation/dislocation of tarsometatarsal joint, left foot, initial encounter | Use for confirmed dislocation/subluxation on weight-bearing X-ray/CT with midfoot 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 injury
Essential facts and insights about Lisfranc Injury
Primary ICD-10-CM Codes for lisfranc injury
Decision Criteria
clinical Criteria
- Confirmed dislocation on imaging
documentation Criteria
- Intraoperative stress test showing instability
Applicable To
- Tarsometatarsal joint dislocation
Clinical Validation Requirements
- Weight-bearing X-ray/CT showing ≥2mm diastasis
- Intraoperative stress test documentation
Code-Specific Risks
- Unspecified laterality
- Missing 7th character
Coding Notes
- Ensure documentation specifies laterality and encounter type.
S93.325A - Subluxation/dislocation of tarsometatarsal joint, left foot, initial encounter
Use for confirmed dislocation/subluxation on weight-bearing X-ray/CT with midfoot instability.
Applicable To
- Tarsometatarsal joint dislocation
Excludes
- Ankle sprain (S93.4-)
- Metatarsal fracture distal to TMT joint (S92.2-)
Clinical Validation Requirements
- Weight-bearing X-ray/CT showing ≥2mm diastasis
- Intraoperative stress test documentation
Coding Notes
Ensure documentation specifies laterality and encounter type.
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.
Sprain of tarsometatarsal ligament
S93.42xADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lisfranc Injury to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S93.324A.
Impact
Clinical: Misrepresents the injury severity., Regulatory: Leads to coding inaccuracies., Financial: Potential for claim rejections.
Mitigation Strategy
Verify imaging results before coding.
Impact
Reimbursement: Incorrect billing can lead to claim denials., Compliance: Violates coding guidelines for bundling., Data Quality: Leads to inaccurate clinical data representation.
Mitigation Strategy
CPT 28615 includes fractures at the TMT joint level.
Impact
Use of unspecified codes increases audit risk.
Mitigation Strategy
Always specify laterality and encounter type.
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 Injury, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lisfranc Injury
Use these documentation templates to ensure complete and accurate documentation for Lisfranc Injury. These templates include all required elements for proper coding and billing.
Surgical repair of Lisfranc injury
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Physical exam findings
- Imaging results
- Surgical details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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