ICD-10-CM Billable Code

S82.421

Displaced transverse fracture of shaft of right fibula

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced transverse fracture of the shaft of the right fibula is a type of leg injury where the long, thin bone on the outer side of the lower leg breaks across its width and the broken parts are shifted out of their normal alignment. This injury can cause significant pain, swelling, and difficulty in movement, often resulting from trauma or impact. Proper diagnosis and treatment are essential for healing and restoring normal function.

Causes & Symptoms

Clinical Causes: Direct blow or trauma to the lower leg, such as a sports injury or fall Motor vehicle accidents involving leg impact Falls from a height leading to direct force on the leg Twisting injuries during athletic activities Workplace accidents involving heavy machinery

Key Symptoms: Sudden, severe pain in the lower leg Swelling and tenderness around the affected area Visible deformity or abnormal alignment of the leg Inability or difficulty bearing weight on the injured leg Bruising and possible bleeding under the skin A feeling of instability or weakness in the leg

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a thorough physical examination by a healthcare professional, who will look for signs of deformity, swelling, and tenderness. Imaging tests, particularly X-rays, are essential to confirm the fracture's location, type, and displacement. In some cases, additional imaging like MRI or CT scans may be used to assess complex fractures or associated injuries.

Treatment Protocols: Treatment strategies depend on the severity and displacement of the fracture. Common approaches include: - **Immobilization:** Using a cast or a brace to keep the bone in place and allow natural healing - **Reduction:** If the fracture is displaced, a healthcare provider may realign the bone fragments, sometimes under anesthesia - **Surgical intervention:** In cases of severe displacement or where stability cannot be achieved non-surgically, internal fixation with plates, screws, or rods may be necessary - **Pain management:** Use of medications to control pain and reduce swelling - **Rehabilitation:** Physical therapy may be recommended post-healing to restore strength, flexibility, and mobility Recovery time can vary from several weeks to months, depending on the injury and treatment approach. Follow-up care is crucial to monitor healing and prevent 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 S82.421 a billable ICD-10 code?
Yes, S82.421 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S82.421?
Clinical documentation must specify the nature of Displaced transverse fracture of shaft of right fibula and any associated comorbidities for accurate reporting.

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