ICD-10-CM Billable Code

S92.142

Displaced dome fracture of left talus

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced dome fracture of the left talus is a specific type of ankle injury involving a break in the dome-shaped part of the talus bone in the left ankle. The talus plays a crucial role in ankle movement and weight-bearing, connecting the leg to the foot. When the fracture is displaced, the broken fragments of the bone are misaligned, often requiring medical intervention to promote proper healing and restore function.

Causes & Symptoms

Clinical Causes: High-impact trauma such as falls from a height Sports injuries involving twisting or direct blows to the ankle Motor vehicle accidents Severe ankle sprains that cause enough force to fracture the bone

Key Symptoms: Sudden pain in the affected ankle Swelling around the ankle joint Bruising or discoloration Difficulty bearing weight or walking Deformity or abnormal position of the ankle Tenderness when touching the area Limited range of motion in the ankle joint

Diagnostic & Treatment

Diagnosis Path: X-rays of the ankle to visualize the fracture and determine displacement CT scans for detailed assessment of the fracture pattern and fragments MRI may be used to evaluate associated soft tissue injuries

Treatment Protocols: Immobilization with a cast or brace to keep the ankle stable Rest, ice application, compression, and elevation (RICE) to reduce swelling Surgical intervention, often involving open reduction and internal fixation (ORIF), to realign displaced bone fragments with screws or pins Rehabilitation through physical therapy to regain strength and mobility after immobilization or surgery Follow-up imaging to ensure proper healing

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 S92.142 a billable ICD-10 code?
Yes, S92.142 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S92.142?
Clinical documentation must specify the nature of Displaced dome fracture of left talus and any associated comorbidities for accurate reporting.

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