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S82.401A
ICD-10-CM
Right Fibula Fracture

Find information on Right Fibula Fracture diagnosis, including clinical documentation, medical coding, ICD-10 codes, treatment protocols, and healthcare guidelines. Learn about fibula fracture types, distal fibula fracture, Weber classification, and relevant anatomy for accurate medical coding and documentation. Explore resources for physicians, coders, and healthcare professionals related to Right Fibula Fracture diagnosis and management.

Also known as

Right Lateral Malleolus Fracture
Distal Fibula Fracture

Diagnosis Snapshot

Key Facts
  • Definition : Break in the smaller outer bone of the lower leg.
  • Clinical Signs : Pain, swelling, tenderness, bruising, and possible deformity over the outer lower leg.
  • Common Settings : Sports injuries, falls, direct impact to the outer leg.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S82.401A Coding
S82.-

Fracture of lower leg, including ankle

Covers fractures of the tibia, fibula, and ankle.

S82.4-

Fracture of fibula alone

Specific to fractures of the fibula bone only.

S82.40-

Fracture of the right fibula

Pinpoints fractures specifically in the right fibula.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the fracture open or closed?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right fibula fracture
Right ankle fracture
Fibular stress fracture, right

Documentation Best Practices

Documentation Checklist
  • Fibula fracture laterality (right)
  • Fracture location (proximal, shaft, distal)
  • Open vs closed fracture documentation
  • Mechanism of injury description
  • Associated injuries (if any)

Coding and Audit Risks

Common Risks
  • Laterality Unspecified

    Coding lacks right or left laterality, leading to claim rejection or inaccurate data. CDI should query for clarification.

  • Fracture Specificity

    Imprecise coding like unspecified fracture type necessitates physician query for compliant billing and quality metrics.

  • Documentation Deficiency

    Missing documentation of fracture location, type, and treatment details can hinder accurate coding and audit defense.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (S82.-) for fibula fractures.
  • Detailed documentation of fracture location, type, and displacement.
  • Query physicians for clarification to improve CDI for specificity.
  • Regular audits for coding accuracy and compliance with payer guidelines.
  • Timely follow-up coding for delayed healing or non-union (S82.9-).

Clinical Decision Support

Checklist
  • 1. Pain/tenderness lateral lower leg: ICD-10 S14.6, S14.5
  • 2. Edema/ecchymosis noted: Document location, severity
  • 3. Weight-bearing status assessed: Capture gait changes
  • 4. X-ray confirms fibula fracture: Document fracture type
  • 5. Neurovascular exam normal: Document DP/PT pulses

Reimbursement and Quality Metrics

Impact Summary
  • Right Fibula Fracture reimbursement impacts coding accuracy for optimal claims processing. CPT codes like 27792, 27826 affect payment.
  • ICD-10 S82 series crucial for fibula fracture diagnosis specificity. Coding errors impact DRG assignment and hospital revenue.
  • Accurate fibula fracture documentation impacts quality metrics like complication rates, return to OR, and patient-reported outcomes.
  • Timely coding and billing of fibula fractures minimize claim denials, optimize reimbursement, and improve hospital financial performance.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Specify fracture location
  • Document laterality (right)
  • Identify open/closed fracture
  • Code with ICD-10 S82
  • Consider 7th character for encounter

Documentation Templates

Patient presents with complaints of right ankle pain and swelling following a (mechanism of injury - e.g., fall, twisting injury).  On physical examination, tenderness is noted over the distal right fibula.  Edema and ecchymosis are present.  Range of motion is limited due to pain.  Neurovascular status of the right foot is intact.  Radiographic imaging of the right ankle reveals a fracture of the right fibula (specify location: distal, shaft, proximal).  Diagnosis: Right fibula fracture (specify type: transverse, oblique, spiral, comminuted, avulsion).  Differential diagnoses considered include ankle sprain, ligament injury, and fibular stress fracture.  Treatment plan includes (conservative management: RICE protocol - rest, ice, compression, elevation, immobilization with a cast, boot, or splint; surgical intervention: open reduction internal fixation ORIF, closed reduction percutaneous fixation CRPF) and pain management with (medication - e.g., ibuprofen, acetaminophen, opioids if necessary).  Follow-up scheduled in (duration - e.g., one week) for repeat radiographic evaluation and clinical assessment.  Patient education provided regarding activity modification, weight-bearing restrictions, and signs and symptoms of complications such as compartment syndrome or deep vein thrombosis.  ICD-10 code (specify code based on specific fracture location and type - e.g., S72.401A Unspecified fracture of the lower end of the right fibula, initial encounter for closed fracture).  CPT codes will be determined based on the specific procedures performed (e.g., for closed reduction: 27786, 27840; for ORIF: 27792, 27826-29).  The patient's prognosis is good with appropriate treatment and adherence to the recommended plan of care.