ICD-10 Coding for Right Fibula Fracture(S82.641A, S82.61XA, S82.841A)
Complete ICD-10-CM coding and documentation guide for Right Fibula Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Fibula Fracture
S82.6-S82.8Primary Range
Fractures of the fibula
This range includes specific codes for fractures of the fibula, including lateral malleolus and other distal fibula fractures.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S82.641A | Nondisplaced fracture of lateral malleolus of right fibula, initial encounter | Use for nondisplaced fractures of the right lateral malleolus in initial encounters. |
|
| S82.61XA | Displaced fracture of lateral malleolus of right fibula, initial encounter | Use for displaced fractures of the right lateral malleolus in initial encounters. |
|
| S82.841A | Other fracture of lower end of right fibula, initial encounter | Use for other types of distal fibula fractures, such as spiral or comminuted, in initial encounters. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for right fibula fracture
Essential facts and insights about Right Fibula Fracture
Primary ICD-10-CM Codes for right fibula fracture
Decision Criteria
clinical Criteria
- X-ray shows nondisplaced fracture
documentation Criteria
- Initial encounter for fracture treatment
Applicable To
- Nondisplaced fracture of right lateral malleolus
Excludes
- Displaced fracture of right lateral malleolus
Clinical Validation Requirements
- X-ray confirmation of intact alignment
Code-Specific Risks
- Ensure documentation specifies 'nondisplaced' and 'initial encounter'.
Coding Notes
- Ensure the fracture type and encounter are clearly documented.
S82.61XA - Displaced fracture of lateral malleolus of right fibula, initial encounter
Use for displaced fractures of the right lateral malleolus in initial encounters.
Applicable To
- Displaced fracture of right lateral malleolus
Excludes
- Nondisplaced fracture of right lateral malleolus
Clinical Validation Requirements
- Imaging showing >2mm displacement
Coding Notes
Ensure the fracture type and encounter are clearly documented.
S82.841A - Other fracture of lower end of right fibula, initial encounter
Use for other types of distal fibula fractures, such as spiral or comminuted, in initial encounters.
Applicable To
- Comminuted fracture of right distal fibular shaft
Excludes
- Fractures of the tibia
Clinical Validation Requirements
- CT/MRI confirming fracture pattern
Coding Notes
Ensure the fracture type and encounter are clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Displaced fracture of lateral malleolus of right fibula, initial encounter
S82.61XANondisplaced fracture of lateral malleolus of right fibula, initial encounter
S82.641ADisplaced fracture of lateral malleolus of right fibula, initial encounter
S82.62XADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Fibula Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.641A.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always include displacement details in documentation., Review imaging reports thoroughly.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use S82.6- series for lateral malleolus fractures.
Impact
Reimbursement: Claims may be rejected or underpaid., Compliance: Non-compliance with ICD-10 coding rules., Data Quality: Inaccurate encounter data.
Mitigation Strategy
Ensure the 7th character 'A' is appended for initial encounters.
Impact
Incorrect coding of fracture type and encounter can lead to audits.
Mitigation Strategy
Ensure thorough documentation and correct code selection.
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 Right Fibula Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Fibula Fracture
Use these documentation templates to ensure complete and accurate documentation for Right Fibula Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for right fibula fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Imaging results
- Fracture type and location
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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