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Home/Diagnosis/ICD-10 Coding for Medial Malleolus Fracture

ICD-10 Coding for Medial Malleolus Fracture

S82.51XA
S82.55XG

Complete ICD-10-CM coding and documentation guide for icd-10 coding for medial malleolus fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Inner Ankle Fracture
Tibial Malleolus Fracture
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Key Information: ICD-10 Coding for Medial Malleolus Fracture

Essential facts and insights about ICD-10 Coding for Medial Malleolus Fracture

Use ICD-10 code S82.51XA for displaced fracture of right medial malleolus, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Displaced fracture of right medial malleolus, initial encounter

Billable Code
S82.51XA
Billable

Diagnostic Criteria

clinical:
  • • Presence of >2mm displacement on imaging
documentation:
  • • Explicit mention of 'displaced' in clinical notes

Applicable To

  • • Displaced fracture of right medial malleolus

Important Notes

  • • Ensure documentation specifies displacement and laterality to avoid unspecified coding.

Nondisplaced fracture of left medial malleolus, subsequent encounter with delayed healing

Billable Code
S82.55XG
Billable

Diagnostic Criteria

clinical:
  • • X-ray showing nondisplacement
documentation:
  • • Clinical notes indicating delayed healing

Applicable To

  • • Nondisplaced fracture of left medial malleolus

Important Notes

  • • Ensure documentation reflects the healing status to select the correct 7th character.
Ancillary Codes

Additional codes that may be used with this diagnosis

W11.XXXA

Fall from ladder, initial encounter

Use to describe the external cause of the fracture.

Z47.89

Aftercare following surgery for fracture

Use for follow-up visits after surgical treatment.

Frequently Asked Questions

How do you code a medial malleolus fracture?

Medial malleolus fractures are coded using the S82.5- series, specifying laterality, displacement, and encounter type. For example, S82.51XA is used for a displaced fracture of the right medial malleolus during the initial encounter.

What is the ICD-10 code for a nondisplaced medial malleolus fracture?

The ICD-10 code for a nondisplaced fracture of the left medial malleolus is S82.55XG, used for subsequent encounters with delayed healing.

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