ICD-10-CM Billable Code

S82.422

Displaced transverse fracture of shaft of left fibula

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced transverse fracture of the shaft of the left fibula is a specific type of bone injury where the fibula, one of the two bones in the lower leg, breaks completely across its length at a right angle to the bone's axis. The term 'displaced' indicates that the broken ends of the bone are no longer aligned properly. This type of fracture usually results from trauma or a significant impact, such as a fall, sports injury, or accident. Recognized under the ICD-10 code S82.422, it requires proper medical assessment for diagnosis and management to ensure proper healing and restore function.

Causes & Symptoms

Clinical Causes: High-impact accidents, such as car collisions or falls from a significant height Sports injuries involving direct blows or twisting forces Trauma from slips or trips where the leg twists or lands improperly Stress fractures in some cases, although more common in athletes

Key Symptoms: Sudden, intense pain around the lower leg Swelling and tenderness along the calf or outer part of the leg Visible deformity, such as the leg appearing bent or misaligned Difficulty bearing weight or walking on the affected leg Bruising and tenderness to touch In some cases, a popping or cracking sound at the time of injury

Diagnostic & Treatment

Diagnosis Path: Diagnosis begins with a thorough physical examination, where a healthcare provider assesses visible deformities, tenderness, and swelling. An X-ray is the primary imaging modality used to confirm the presence of a fracture, determine its exact location, orientation, and whether the bone ends are displaced. Additional imaging, like CT scans, may be employed in complex cases to evaluate more detailed fracture patterns and planning for treatment. Medical history regarding the event that caused the injury helps provide context for accurate diagnosis.

Treatment Protocols: Treatment aims to realign the broken bone and ensure proper healing. Approaches include: - Immobilization with a cast or brace to keep the bones in the correct position during healing - Closed reduction procedures where the doctor manually realigns the fracture without surgery, followed by immobilization - Surgical intervention in cases where the fracture is severely displaced or unstable, often involving internal fixation devices such as screws, plates, or rods to hold bone fragments in place - Pain management with medications - Elevation and ice application to reduce swelling and discomfort - Physical therapy post-healing to regain strength, flexibility, and function of the leg The duration of treatment varies depending on the severity of the fracture and the patient's overall health, typically taking several weeks to months for complete recovery. It is essential to follow medical advice precisely to facilitate proper healing and minimize complications.

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 S82.422 a billable ICD-10 code?
Yes, S82.422 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S82.422?
Clinical documentation must specify the nature of Displaced transverse fracture of shaft of left fibula and any associated comorbidities for accurate reporting.

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