S82.852 - Displaced trimalleolar fracture of left lower leg

Version 2023
ICD-10:S82.852
Short Description:Displaced trimalleolar fracture of left lower leg
Long Description:Displaced trimalleolar fracture of left lower leg
Status: Not Valid for Submission
Version:ICD-10-CM 2023
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)

S82.852 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of displaced trimalleolar fracture of left lower leg. The code is not specific and is NOT valid for the year 2023 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.

Approximate Synonyms

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

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 trimalleolar fracture of left lower leg

Non-specific codes like S82.852 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 trimalleolar fracture of left lower leg:

  • BILLABLE CODE - Use S82.852A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.852B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.852C for or IIIC
  • BILLABLE CODE - Use S82.852D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.852E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.852F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.852G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.852H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.852J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.852K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.852M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.852N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.852P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.852Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.852R for or IIIC with malunion
  • BILLABLE CODE - Use S82.852S for sequela

Patient Education


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.


[Learn More in MedlinePlus]

Code History