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Home/Diagnosis/ICD-10 Coding for Right Ankle Injury

ICD-10 Coding for Right Ankle Injury

S82.841A
S93.401A

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

Also Known as:
Right Ankle Sprain
Right Ankle Fracture
Right Ankle Trauma
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Key Information: ICD-10 Coding for Right Ankle Injury

Essential facts and insights about ICD-10 Coding for Right Ankle Injury

Use ICD-10 code S82.841A for displaced fracture of medial malleolus of right tibia, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Displaced fracture of medial malleolus of right tibia, initial encounter for closed fracture

Billable Code
S82.841A
Billable

Diagnostic Criteria

  • • Presence of fracture line on imaging with displacement

Applicable To

  • • Medial malleolus fracture

Important Notes

  • • Ensure documentation specifies 'displaced' and 'closed' fracture.
  • • Ensure fracture type and encounter type are clearly documented.

Sprain of unspecified ligament of right ankle, initial encounter

Billable Code
S93.401A
Billable

Diagnostic Criteria

  • • Physical exam showing lateral tenderness with positive anterior drawer test

Applicable To

  • • Lateral ankle sprain

Important Notes

  • • Ensure documentation specifies ligament involvement and encounter type.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.571

Pain in right ankle

Use for documenting persistent pain post-fracture treatment.

R26.89

Other abnormalities of gait and mobility

Use for documenting gait abnormalities due to ankle sprain.

Frequently Asked Questions

What is the ICD-10 code for a right ankle sprain?

The ICD-10 code for a right ankle sprain is S93.401A, used for initial encounters when a specific ligament is not identified.

How do you code a right ankle fracture?

For a displaced fracture of the medial malleolus of the right ankle, use ICD-10 code S82.841A for initial encounters.

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