ICD-10-CM Billable Code

S82.442

Displaced spiral fracture of shaft of left fibula

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced spiral fracture of the shaft of the left fibula is a specific type of bone fracture that occurs in the smaller bone of the lower leg. This type of fracture involves a twisting or spiral break along the length of the fibula, resulting in the bone being displaced or moved out of its normal position. It typically results from a twisting injury or high-impact trauma, such as sports accidents or falls. Proper diagnosis and treatment are essential for healing and restoring function to the leg.

Causes & Symptoms

Clinical Causes: Twisting injuries during sports or accidents Falls, especially onto the side of the leg Direct trauma or blow to the lower leg High-impact activities that involve sudden twists or turns Motor vehicle accidents leading to complex leg injuries

Key Symptoms: Immediate pain and tenderness along the outer side of the lower leg Swelling and bruising around the fracture site Difficulty or inability to bear weight on the affected leg Visible deformity or unnatural contour of the leg in severe cases Limited range of motion in the ankle or inability to walk properly Possible audible snap or sensation of a breaking sound at the moment of injury

Diagnostic & Treatment

Diagnosis Path: Diagnosis of a displaced spiral fracture of the fibula involves clinical examination and imaging studies. The physician will evaluate the site of pain, swelling, and deformity. X-rays are essential to confirm the presence of a spiral fracture, determine the degree of displacement, and assess whether the fracture involves other parts of the leg or tibia. In some cases, additional imaging tests like MRI or CT scans might be used to evaluate the extent of injury or associated soft tissue damage.

Treatment Protocols: Treatment options aim to realign the fractured bone and ensure proper healing. Approaches may include: - Immobilization with a plaster cast or functional brace to keep the bone in position - Reduction procedures if the displacement is severe, which may be performed manually or surgically - Surgical fixation using plates, screws, or rods to stabilize the fracture, especially in cases of significant displacement or complex breaks - Rest, elevating the leg, and avoiding weight-bearing activities initially - Physical therapy and rehabilitation exercises to restore strength, flexibility, and function once healing progresses Healing time varies depending on age, severity of the fracture, and adherence to treatment, but it generally spans several weeks to a few months. Follow-up imaging and clinical assessments ensure proper healing and guide return to normal activities.

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 S82.442 a billable ICD-10 code?
Yes, S82.442 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S82.442?
Clinical documentation must specify the nature of Displaced spiral fracture of shaft of left fibula and any associated comorbidities for accurate reporting.

Cite this Clinical Reference