ICD-10-CM Billable Code

S82.84

Bimalleolar fracture of lower leg

Clinical Classification Guidelines

Medical Intelligence & Overview

A bimalleolar fracture is a specific type of ankle injury involving two bones in the lower leg—the lateral malleolus (outer ankle bone) and the medial malleolus (inner ankle bone). This injury typically results from twisting or trauma to the ankle, such as falls or sports injuries. It often causes significant pain and instability in the ankle joint, requiring prompt medical attention and treatment to restore function and prevent complications.

Causes & Symptoms

Clinical Causes: Twisting injuries when the foot is planted firmly on the ground Falls from height landing on the ankle Sports-related accidents, especially in football, basketball, or skiing Motor vehicle collisions impacting the ankle area Direct trauma or blow to the ankle region

Key Symptoms: Severe pain around the ankle, especially when attempting to move or bear weight Swelling and tenderness over the ankle joint Bruising or discoloration in the ankle and surrounding areas Deformity or abnormal positioning of the ankle if the bones are displaced Inability to walk or stand on the affected leg A feeling of instability or looseness in the ankle

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination followed by imaging studies. The doctor will assess swelling, deformity, and the range of motion. X-rays are the primary imaging modality, helping to confirm the presence of fractures in the lateral and medial malleoli. Occasionally, CT scans may be ordered for detailed visualization, especially if the fracture pattern is complex. Accurate diagnosis is essential for planning appropriate treatment strategies.

Treatment Protocols: Treatment options depend on the severity and alignment of the fracture but generally include the following:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S82.84 a billable ICD-10 code?
Yes, S82.84 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S82.84?
Clinical documentation must specify the nature of Bimalleolar fracture of lower leg and any associated comorbidities for accurate reporting.

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