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Home/Diagnosis/ICD-10 Coding for Injury of Lower Leg

ICD-10 Coding for Injury of Lower Leg

S82.2XXA
S86.811A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for injury of lower leg includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Lower Leg Trauma
Leg Injury
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Key Information: ICD-10 Coding for Injury of Lower Leg

Essential facts and insights about ICD-10 Coding for Injury of Lower Leg

Use ICD-10 code S82.2XXA for fracture of shaft of tibia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Fracture of shaft of tibia

Non-Billable
S82.2XXA
Non-Billable

Diagnostic Criteria

clinical:
  • • Fracture confirmed by imaging
documentation:
  • • Specific fracture location and type documented

Applicable To

  • • Displaced fracture of tibia
  • • Non-displaced fracture of tibia

Important Notes

  • • Ensure to document the type of encounter (initial, subsequent, sequela) using the 7th character.

Strain of other specified muscles and tendons at lower leg level

Billable Code
S86.811A
Billable

Diagnostic Criteria

clinical:
  • • Physical exam showing tenderness and limited range of motion

Applicable To

  • • Strain of gastrocnemius
  • • Strain of soleus

Important Notes

  • • Document the specific muscle involved and the degree of strain.
Ancillary Codes

Additional codes that may be used with this diagnosis

W11.8XXA

Fall from ladder

Use to specify the external cause of the injury.

Frequently Asked Questions

How do you code a lower leg fracture?

Use S82.2XXA for a tibial shaft fracture confirmed by imaging. Ensure to document the fracture type and location for accurate coding.

What is the ICD-10 code for a lower leg strain?

The ICD-10 code for a strain of lower leg muscles is S86.811A. Document the specific muscle and degree of strain.

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