ICD-10-CM Billable Code

S82.51

Displaced fracture of medial malleolus of right tibia

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the medial malleolus of the right tibia is a specific type of ankle injury where the bony prominence on the inner side of the ankle bone (medial malleolus) breaks and moves out of its normal position. This condition affects the stability and alignment of the ankle joint, often resulting from trauma or a severe twist. Recognizing this injury is essential for proper treatment and recovery, as it can influence mobility and daily activities.

Causes & Symptoms

Clinical Causes: Direct blow to the inside of the ankle, such as during falls or sports injuries Twisting or rolling the ankle forcefully, especially when the foot is planted Accidents causing excessive torsion or impact to the ankle joint High-energy trauma, such as car accidents Overuse or repetitive stress leading to weakening of the bone, though less common

Key Symptoms: Severe pain on the inner side of the ankle, especially when bearing weight Swelling and tenderness around the inner ankle Bruising or discoloration around the injury site Deformity or a visible bump, indicating displacement Difficulty or inability to move or bear weight on the affected leg A sensation of instability or the ankle feeling loose or unstable Possible crepitus, a grinding or cracking sensation with ankle movement

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a detailed physical examination followed by imaging tests. An X-ray is the primary method to confirm the presence of a fracture and determine its displacement. In some cases, advanced imaging such as MRI or CT scans may be recommended to assess the extent of injury or involvement of surrounding structures. Accurate diagnosis is crucial for planning effective treatment strategies.

Treatment Protocols: Management of a displaced medial malleolus fracture often requires surgical intervention. Treatment options include:

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 S82.51 a billable ICD-10 code?
Yes, S82.51 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S82.51?
Clinical documentation must specify the nature of Displaced fracture of medial malleolus of right tibia and any associated comorbidities for accurate reporting.

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