![]() Code Coding Clinic x Assign placeholder X Use Additional Character(s) S82.44. 561 Aftercare, musculoskeletal system and connective tissue without cc/mccĬonvert S82. right tibia xS82.55 Nondisplaced fracture of medial malleolus of left tibia.560 Aftercare, musculoskeletal system and connective tissue with cc.559 Aftercare, musculoskeletal system and connective tissue with mcc.ICD-10-CM S82.434D is grouped within Diagnostic Related Group(s) (MS-DRG v41.0): Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S89.311A. B, Initial encounter for open fracture D, Subsequent encounter for fracture with routine healing G, Subsequent encounter for fracture with delayed healing K. S82.434D is considered exempt from POA reporting. ICD 10 code for Salter-Harris Type I physeal fracture of lower end of right fibula, initial encounter for closed fracture. ![]() All rights reserved."Present On Admission" is defined as present at the time the order for inpatient admission occurs - conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA. ICD-10 code S82.401 for Unspecified fracture of shaft of right fibula is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes. Database research that relies on ICD-10 coding as a surrogate for primary clinical data should be interpreted with caution and institutions should make efforts to increase the accuracy of their coding.Īccuracy Ankle fracture ICD-10 coding Positive predictive value.Ĭopyright © 2021 Elsevier Ltd. There is substantial discordance between existing EMR and surgeon-assigned ICD-10 codes for ankle fractures. Closed fracture of lateral malleolus of right fibula Closed fracture of right. EMR codes were specific but not sensitive. Generalized "other fracture" codes comprised 45% of EMR codes compared to only 6% of assigned codes (p < 0.001). ICD-10 code S82. Lateral malleolus fracture codes demonstrated the highest PPV (0.91, 95% CI 0.72-0.99), while the lowest PPV was found for "other fractures of the lower leg" (0.05, 95% CI 0.0-0.24) and "other fracture of the fibula" (0.0, 95% CI 0.0-0.15). Aggregate agreement between all codes was fair (K = 0.26). Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. This is the American ICD-10-CM version of S82.24 - other international versions of ICD-10 S82.24 may differ. Agreement between the correct code and the electronic medical record (EMR) assigned code was determined using kappa's statistic in the aggregate as well as percent agreement, sensitivity, specificity, and positive predictive value (PPV) between individual codes.ĥ9 of 97 cases (60.8%) demonstrated discordance between the existing EMR and surgeon-assigned codes. The 2024 edition of ICD-10-CM S82.24 became effective on October 1, 2023. Injury radiographs were reviewed by three authors to determine the correct code. S82. Retrospective cohort study PATIENTS: 97 adult patients with fractures about the ankle (rotational ankle fracture or distal tibia fracture) from 2016 to 2020, selected by stratified random sampling.Īssignment of an ICD-10 code representative of a rotational ankle fracture, pilon fracture, or unspecified fracture of the lower leg. ![]() To determine the accuracy of International Classification of Disease Version 10 (ICD-10) coding for ankle fracture injury patterns.
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