ICD-10 Coding for Posterior Malleolus Fracture(S82.87XA)
Complete ICD-10-CM coding and documentation guide for Posterior Malleolus Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Posterior Malleolus Fracture
S82.87XPrimary Range
Other fracture of lower leg, including ankle
This range includes specific codes for posterior malleolus fractures with laterality and encounter type.
Key Information: ICD-10 code for posterior malleolus fracture
Essential facts and insights about Posterior Malleolus Fracture
Primary ICD-10-CM Code for posterior malleolus fracture
Decision Criteria
clinical Criteria
- Radiological evidence of posterior malleolus fracture
documentation Criteria
- Detailed description of fracture characteristics and associated injuries
Applicable To
- Posterior malleolus fracture
Excludes
- Fracture of medial malleolus (S82.5-)
Clinical Validation Requirements
- Radiology confirmation of posterior malleolus involvement
- Documentation of fragment size and articular involvement
Code-Specific Risks
- Incorrectly coding as medial malleolus fracture
Coding Notes
- Ensure laterality and encounter type are specified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for other preprocedural examination
Z01.818Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Fracture of medial malleolus of right tibia, initial encounter
S82.51XADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Posterior Malleolus Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.87XA.
Impact
Clinical: May lead to incorrect treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Always document the side of the fracture., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate healthcare data and statistics.
Mitigation Strategy
Ensure documentation specifies 'posterior malleolus' and use S82.87X.
Impact
Incorrect coding of posterior malleolus fractures as other types.
Mitigation Strategy
Use detailed documentation and coding audits.
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 Posterior Malleolus Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Posterior Malleolus Fracture
Use these documentation templates to ensure complete and accurate documentation for Posterior Malleolus Fracture. These templates include all required elements for proper coding and billing.
Post-Operative Note for Posterior Malleolus Fracture
Specialty: OrthopedicsRequired Elements
- Fracture characteristics
- Surgical approach
- Fixation details
- Stability assessment
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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