S82.87
Pilon fracture of tibia
Clinical Classification Guidelines
Medical Intelligence & Overview
A pilon fracture of the tibia is a serious injury involving a break near the bottom of the shinbone (tibia), close to the ankle joint. Often caused by high-impact accidents, this type of fracture can be complex and may require intensive treatment to ensure proper healing and restore function.
Causes & Symptoms
Clinical Causes: Falls from significant heights, landing on the feet or legs Motor vehicle accidents, such as car or motorcycle crashes Sports injuries involving direct impact or twisting motions Work-related accidents involving heavy machinery or falling objects
Key Symptoms: Severe pain around the ankle and lower leg Swelling and tenderness in the affected area Bruising or discoloration of the skin Deformity or abnormal positioning of the ankle Difficulty bearing weight or walking Potential open wound or visible bone in severe cases
Diagnostic & Treatment
Diagnosis Path: Diagnosing a pilon fracture typically involves a physical examination followed by imaging tests. The healthcare provider will assess for signs of swelling, deformity, and pain, then confirm the diagnosis with X-rays. Occasionally, CT scans are used to visualize complex fracture patterns and aid in treatment planning.
Treatment Protocols: Managing a pilon fracture usually requires a combination of approaches tailored to the severity of the injury. Initial management may focus on pain control and stabilization, often through immobilization or surgery. Surgical intervention typically involves realigning the fractured bones (reduction) and stabilizing them with plates, screws, or rods. Postoperative care includes rest, elevation, physical therapy, and gradual weight-bearing activities to promote healing and regain mobility.
Clinical Advice & FAQs
Billing Guidance
Is S82.87 a billable ICD-10 code?
Yes, S82.87 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S82.87?
Clinical documentation must specify the nature of Pilon fracture of tibia and any associated comorbidities for accurate reporting.
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