ICD-10-CM Billable Code

S82.55

Nondisplaced fracture of medial malleolus of left tibia

Clinical Classification Guidelines

Medical Intelligence & Overview

A nondisplaced fracture of the medial malleolus of the left tibia refers to a break in the inner ankle bone without significant shifting or movement of the bone fragments. The medial malleolus is the bony bump on the inner side of your ankle, part of the tibia or shinbone. Such fractures often result from trauma like twisting injuries or direct impacts and require proper diagnosis and treatment to ensure healing. This guide provides an overview of this condition, including causes, common symptoms, diagnostic methods, and general treatment options.

Causes & Symptoms

Clinical Causes: Twisting or rolling injuries during sports or physical activities Falls onto the ankle or foot Direct blow or trauma to the inner side of the ankle Overuse or repetitive stress may contribute in some cases

Key Symptoms: Pain on the inside of the ankle, especially when bearing weight Swelling around the inner ankle area Tenderness to touch over the medial malleolus Bruising or discoloration around the ankle Difficulty walking or standing due to pain and instability Possible stiffness or limited range of motion in the ankle

Diagnostic & Treatment

Diagnosis Path: Diagnosing a nondisplaced medial malleolus fracture involves several steps. Healthcare providers typically begin with a physical examination, checking for tenderness, swelling, and range of motion. Imaging tests are essential to confirm the diagnosis and rule out other injuries:

Treatment Protocols: Treatment strategies aim to promote proper healing and restore ankle function. For nondisplaced fractures, conservative management is usually effective:

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 S82.55 a billable ICD-10 code?
Yes, S82.55 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S82.55?
Clinical documentation must specify the nature of Nondisplaced fracture of medial malleolus of left tibia and any associated comorbidities for accurate reporting.

Cite this Clinical Reference