Find information on Left Calcaneus Fracture diagnosis, including clinical documentation, medical coding, ICD-10 codes S92.0, S92.1, and S92.2 for left calcaneal fractures. Learn about healthcare guidelines, best practices for documenting calcaneus fractures, and accurate coding for medical billing and reimbursement. This resource covers relevant medical terminology, treatment options, and clinical considerations for Left Calcaneus Fractures.
Also known as
Fracture of calcaneus
Fractures of the heel bone.
Injuries to the ankle and foot
Includes sprains, strains, dislocations, and fractures.
Injury, poisoning and certain other
Encompasses various injuries and external causes.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the fracture displaced?
Yes
Intra-articular?
No
Intra-articular?
When to use each related code
| Description |
|---|
| Left Calcaneus Fracture |
| Left Calcaneal Stress Fracture |
| Left Calcaneal Avulsion Fracture |
Coding left calcaneus fracture without specifying laterality can lead to claim denials. Use ICD-10-CM codes that include laterality.
ICD-10-CM offers specific codes for intra-articular, displaced, and other fracture types. Lack of specificity may affect reimbursement.
Failing to capture associated injuries like soft tissue damage or other fractures impacts clinical documentation integrity and accurate coding.
Patient presents with complaints of left heel pain following a fall from a height of approximately [Height]. The patient reports immediate onset of pain and swelling in the left heel, with difficulty bearing weight. Physical examination reveals tenderness to palpation over the calcaneus, ecchymosis, and edema surrounding the left ankle and heel. Range of motion of the left ankle is limited due to pain. Neurovascular assessment of the left foot is intact. Radiographic imaging of the left foot, including AP, lateral, and oblique views, demonstrates a fracture of the calcaneus. The fracture is classified as [Sanders Classification Type] with [Intra-articular or Extra-articular] involvement. Differential diagnoses considered include calcaneal contusion, ankle sprain, and stress fracture. Impression: Closed, displaced fracture of the left calcaneus. Treatment plan includes non-weight-bearing status, immobilization with a splint or cast, pain management with analgesics, elevation, and ice. Orthopedic referral is made for definitive management, which may include surgical intervention such as open reduction internal fixation (ORIF) or closed reduction. Patient education provided on fall prevention, pain management strategies, and importance of follow-up appointments. Return precautions and potential complications, such as post-traumatic arthritis and complex regional pain syndrome (CRPS), were also discussed. Follow-up scheduled in [Duration] for reassessment and further management.