ICD-10 Coding for Fracture of Ankle(S82.841A)
Complete ICD-10-CM coding and documentation guide for Fracture of Ankle. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fracture of Ankle
S82.8Primary Range
Fracture of other parts of lower leg
This range includes specific codes for different types of ankle fractures, including bimalleolar and trimalleolar fractures.
Key Information: ICD-10 code for bimalleolar fracture
Essential facts and insights about Fracture of Ankle
Primary ICD-10-CM Code for fracture of ankle
Decision Criteria
clinical Criteria
- Confirmed bimalleolar fracture via imaging
documentation Criteria
- Includes laterality and displacement status
Applicable To
- Displaced fracture of lateral and medial malleolus
Excludes
- Pathological fracture (M84.471)
Clinical Validation Requirements
- X-ray or CT confirming bimalleolar fracture
- Documentation of displacement and laterality
Code-Specific Risks
- Incorrect laterality
- Missing displacement status
Coding Notes
- Ensure documentation includes laterality, displacement, and encounter type.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fall on same level
W00.0XXADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Pathological fracture, right ankle
M84.471Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fracture of Ankle to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.841A.
Impact
Clinical: Leads to inaccurate treatment plans., Regulatory: Non-compliance with ICD-10 standards., Financial: Potential claim denials.
Mitigation Strategy
Always document laterality in clinical notes.
Impact
Reimbursement: May lead to claim denials or lower reimbursement rates., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies laterality and fracture type.
Impact
Risk of audits due to unspecified fracture codes.
Mitigation Strategy
Ensure all documentation includes specific fracture details.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Fracture of Ankle, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Ankle
Use these documentation templates to ensure complete and accurate documentation for Fracture of Ankle. These templates include all required elements for proper coding and billing.
Orthopedic Post-Operative Note
Specialty: OrthopedicsRequired Elements
- Fracture type
- Laterality
- Displacement status
- Encounter type
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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