2022 ICD-10-CM Code S82.842
Displaced bimalleolar fracture of left lower leg

Version 2022
ICD-10:S82.842
Short Description:Displaced bimalleolar fracture of left lower leg
Long Description:Displaced bimalleolar fracture of left lower leg
Status: Not Valid for Submission

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the knee and lower leg (S80-S89)
      • Fracture of lower leg, including ankle (S82)

S82.842 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of displaced bimalleolar fracture of left lower leg. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

The ICD-10-CM code S82.842 might also be used to specify conditions or terms like closed bimalleolar fracture, closed bimalleolar fracture of left ankle, closed fracture of distal end of left tibia, closed fracture of distal left fibula, closed fracture of lateral malleolus of left fibula , closed fracture of left fibula, etc.

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Specific Coding for Displaced bimalleolar fracture of left lower leg

Non-specific codes like S82.842 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for displaced bimalleolar fracture of left lower leg:

  • BILLABLE CODE - Use S82.842A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.842B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.842C for or IIIC
  • BILLABLE CODE - Use S82.842D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.842E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.842F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.842G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.842H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.842J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.842K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.842M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.842N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.842P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.842Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.842R for or IIIC with malunion
  • BILLABLE CODE - Use S82.842S for sequela

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Information for Patients


Ankle Injuries and Disorders

Your ankle bone and the ends of your two lower leg bones make up the ankle joint. Your ligaments, which connect bones to one another, stabilize and support it. Your muscles and tendons move it.

The most common ankle problems are sprains and fractures (broken bones). A sprain is an injury to the ligaments. It may take a few weeks to many months to heal completely. A fracture is a break in a bone. You can also injure other parts of the ankle such as tendons, which join muscles to bone, and cartilage, which cushions your joints. Ankle sprains and fractures are common sports injuries.


[Learn More in MedlinePlus]

Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


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Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)