kodex

Kodex

ICD-10-CM
Code

S82.51XR

subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

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Hierarchy

  • S00-T88 Injury, poisoning and certain other consequences of external causes (S00-T88)
    • S80-S89 Injuries to the knee and lower leg (S80-S89)
      • S82 Fracture of lower leg, including ankle
        • S82.5 Fracture of medial malleolus
          • S82.51 Displaced fracture of medial malleolus of right tibia
            • S82.51XA initial encounter for closed fracture
            • S82.51XB initial encounter for open fracture type I or II
            • S82.51XC initial encounter for open fracture type IIIA, IIIB, or IIIC
            • S82.51XD subsequent encounter for closed fracture with routine healing
            • S82.51XE subsequent encounter for open fracture type I or II with routine healing
            • S82.51XF subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
            • S82.51XG subsequent encounter for closed fracture with delayed healing
            • S82.51XH subsequent encounter for open fracture type I or II with delayed healing
            • S82.51XJ subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
            • S82.51XK subsequent encounter for closed fracture with nonunion
            • S82.51XM subsequent encounter for open fracture type I or II with nonunion
            • S82.51XN subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
            • S82.51XP subsequent encounter for closed fracture with malunion
            • S82.51XQ subsequent encounter for open fracture type I or II with malunion
            • S82.51XR subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
            • S82.51XS sequela

Long Title

S82.51XR

  • Displaced fracture of medial malleolus of right tibia subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion

Notes

S82

  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed
  • The open fracture designations are based on the Gustilo open fracture classification

S00-T88

  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

Use Additional

S00-T88

  • code to identify any retained foreign body, if applicable (Z18.-)
    • Z18 Retained foreign body fragments

Includes

S82

  • fracture of malleolus

Excludes 1

S82.5

  • pilon fracture of distal tibia (S82.87-)
    • S82.87 Pilon fracture of tibia
  • Salter-Harris type III of lower end of tibia (S89.13-)
    • S89.13 Salter-Harris Type III physeal fracture of lower end of tibia
  • Salter-Harris type IV of lower end of tibia (S89.14-)
    • S89.14 Salter-Harris Type IV physeal fracture of lower end of tibia

S82

  • S88 Traumatic amputation of lower leg

S00-T88

  • P10-P15 Birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes 2

S82

  • fracture of foot, except ankle (S92.-)
    • S92 Fracture of foot and toe, except ankle
  • periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)
    • M97.1 Periprosthetic fracture around internal prosthetic knee joint

S80-S89

  • T20-T32 Burns and corrosions (T20-T32)
  • T33-T34 Frostbite (T33-T34)
  • injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)
    • S90-S99 Injuries to the ankle and foot (S90-S99)
  • insect bite or sting, venomous (T63.4)
    • T63.4 Toxic effect of venom of other arthropods