identify ankle fracture pattern (Lauge-Hansen SA, SER, PA, PER). Discover how to save hours each week. Youll also need to keep your ankle immobile for a while. This showed as a single positive wound swab for . A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. Depending on the extent of your injury and your other medical conditions, you might be able to go home the same day. trailer <<3F76107E66E14089A66C8C66CBD010A1>]/Prev 102250>> startxref 0 %%EOF 66 0 obj <>stream Different kinds of injury can damage the lower tibia, lower fibula, or talus. Preparation. synonyms: ORIF Ankle Fracture, open reduction internal fixation ankle, medial malleolus ORIF, lateral malleolus ORIF, ORIF Ankle Fracture Pre-op Planning / Special Considerations, Site Terms | Copyright Information | ContactUs | Site Registration. 0000008348 00000 n 0000007129 00000 n Lateral Malleolus ORIF. Attention was then directed to the lateral aspect of the patient's left leg where . You may need to have your stitches or staples removed a week or so after your surgery. PCS coding can be confusing as it is nothing like CPT coding; with CPT we can simply code an ankle fracture. Complications can include a collection of air in the pleural space surrounding the lung (pneumothorax), injury to the nerves or blood vessels in the area, and an unpleasant appearance. If possible, your healthcare provider will treat your fracture with more conservative treatments, like pain medicines, casts, or braces. 2005 Apr;26(4):281). Positioning. SlatePro-Bk The note says that the physician only treated the lateral side w/ORIF and the medial side was treated in a closed manner. The left lower extremity was then scrubbed, prepped and draped in the usual aseptic manner for left ankle open reduction internal fixation. The information on this website may not be complete or accurate. It is not intended for the general public. OpenType - PS Trimalleolar- ORIF fix posterior malleolus if >25% of plafond (Scheidt, J Trauma 1992;6:98), Strongly consider CT scan to determine posterior malleolar . You may have some pain after your procedure, but you may be prescribed pain medicines by your healthcare provider. However, let your healthcare provider know right away if the draining is severe. It is not intended for the general public. When a patient has arthroscopic [], Heres the 2 or 3 tips you need to master these fracture codes. The reason you are having the test or procedure, What results to expect and what they mean, The risks and benefits of the test or procedure, What the possible side effects or complications are, When and where you are to have the test or procedure, Who will do the test or procedure and what that persons qualifications are, What would happen if you did not have the test or procedure, Any alternative tests or procedures to think about, Who to call after the test or procedure if you have questions or problems, How much will you have to pay for the test or procedure. Three bones make up the ankle joint. M25.571 - Pain in right ankle and joints of right foot, M25.572 - Pain in left ankle and joints of left foot, M20.5X1 - Other deformities of toe(s) (acquired), right foot, M20.5X2 - Other deformities of toe(s) (acquired), left foot, M20.11 - Hallux valgus (acquired), right foot, M20.12 - Hallux valgus (acquired), left foot, M20.41 - Other hammer toe(s) (acquired), right foot, M20.42 - Other hammer toe(s) (acquired), left foot, Excision interdigital neuroma (Morton's neuroma) 28080, G57.61 - Lesion of plantar nerve, right lower limb, G57.62 - Lesion of plantar nerve, left lower limb, S93.324A - Dislocation of tarsometatarsal joint of right foot, initial encounter, S93.325A - Dislocation of tarsometatarsal joint of left foot, initial encounter, S82.52XA Displaced fracture of medial malleolus of left tibia, initial closed, S82.55XA Nondisplaced fracture of medial malleolus of left tibia, initial closed, M21.41: Flat foot [pes planus] (acquired), right foot, Q66.51: Congenital pes planus, right foot, M21.42: Flat foot [pes planus] (acquired), left foo, S82.871A - Displaced pilon fracture of right tibia, initial encounter for closed fracture, S82.874A - Nondisplaced pilon fracture of right tibia, initial encounter for closed fracture, S82.872A - Displaced pilon fracture of left tibia, initial encounter for closed fracture, S82.875A - Nondisplaced pilon fracture of left tibia, initial encounter for closed fracture, S93.431A - Sprain of tibiofibular ligament of right ankle, initial encounter, S93.432A - Sprain of tibiofibular ligament of left ankle, initial encounter, M25.571 pain in right ankle and joints of right foot, Z96.661 Presence of right artificial ankle joint, M25.572 pain in left ankle and joints of left foot, Z96.662 Presence of left artificial ankle joint, S86.011(ADS) Strain of Right Achilles tendon, S86.012(ADS) Strain of left Achilles tendon, M19.071 Primary Osteoarthritis, right ankle and foot, M19.072 Primary Osteoarthritis, left ankle and foot, S82.841A Displaced Bimalleolar fracture, right lower leg, initial closed, S82.851A Displaced Trimalleolar fracture, right lower leg, initial closed, S82.842A Displaced Bimalleolar fracture, left lower leg, initial closed, S82.852A Displaced Trimalleolar fracture, left lower leg, initial closed, S93.401(ADS) Sprain of unspecified ligament of right ankle, S93.402(ADS) Sprain of unspecified ligament of left ankle, S92.011A Displaced fracture of body of right calcaneus initial encounter for closed fracture, S92.012A Displaced fracture of body of left calcaneus initial encounter for closed fracture, S92.351A Displaced fracture of fifth metatarsal bone, right foot, initial closed, S92.354A Nondisplaced fracture of fifth metatarsal bone, right foot, initial closed, S92.352A Displaced fracture of fifth metatarsal bone, left foot, initial closed, S92.355A Nondisplaced fracture of fifth metatarsal bone, left foot, initial closed, S82.61XA Displaced fracture of lateral malleolus of right fibula, initial closed, S82.64XA Nondisplaced fracture of lateral Malleolus right fibula, initial closed, S82.62XA Displaced fracture of lateral malleouls of left fibula, initial closed, S82.65XA Nondisplaced fracture of lateral malleolus of left fibula, initial closed, Lisfranc ORIF/Arthrodesis Technique 28615, S82.51XA Displaced fracture of medial malleolus of right tibia, initial closed, S82.54XA Nondisplaced fracture of medial malleolus of right tibia, initial closed, Pilon Fracture Temporary External Fixation 20690, 1st Metatarsal Dorsiflexion Osteotomy 28306, Anterior Ankle Impingement Syndrome M19.079 715.17, Anterior Tarsal Tunnel Syndrome G57.50 355.5, Anterior Tibial Tendon Rupture S86.219A 727.68, Anterior Tibial Tendon Tenosynovitis M76.899 726.72, Calcaneous Fracture-Anterior Process S92.023A 825.0, Calcaneus Avulsion Fracture S92.009A 825.0, Dorsomedial Cutaneous Nerve Syndrome S94.30XA, Flexor Hallucis Longus Tendon Laceration S96.029A 892.2, Flexor Hallucis Longus Tenosynovitis M77.9 726.90, Lateral Malleolus Fracture S82.63XA 824.2, Lisfranc fracture-dislocation S93.326A 838.03, Lisfranc ORIF / Arthrodesis Technique 28615, Metatarsal Stress Fracture M84.376A 733.94, Metatarsalphalangeal Instability M24.876 718.87, Metatarsalphalangel Synovitis M12.279 719.27, Metatarsophalangeal Dislocation S93.129A 838.05, Modified Rotational Scarf Osteotomy for Hallux Valgus 28296, Navicular Stress Fracture M84.38XA 733.95, Peroneal Tendon Dislocation S86.399A 726.79, Posterior Ankle Impingement Syndrome M76.899 726.90, Posterior Tibial Tendon Dysfunction Insufficiency / Rupture / Dislocation M76.829 726.72, Talar Osteochondritis Dissecans M93.279 732.7, Talus Fracture - Lateral Process S92.199A 825.21, Talus Fracture - Posterior Process S92.109A 825.21, Tibialis Anterior Rupture S86.219A 845.00. A patient with a left displaced bimalleolar ankle fracture, with syndesmotic injury underwent an open reduction internal fixation (orif) of both the fracture and syndesmotic. See our privacy policy. 0000002675 00000 n A bimalleolar fracture occurs when both the medial malleolus and lateral malleolus are broken. Fv 27, 2023 . You are more likely to need ORIF if: In these cases, ORIF can place your bones back into their proper alignment, increasing the chance that your bone will heal properly. All Rights Reserved. 0 24530 - Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension. S82.841K, Displaced bimalleolar fracture of right lower leg, subsequent encounter for closed fracture with nonunion A 7th character is added to all codes from category S82. Timing of surgery is dictated by the status of the soft tissues. If open reduction and internal fixation of a bimalleolar fracture is performed, only the CPT code whose descriptor is "Open treatment of bimalleolar ankle fracture, with or without internal or external fixation" should . 0000030523 00000 n 0000012727 00000 n It is recommended that clinicians collaborate closely with the referring physician regarding the timeframes for progression. At some point, you may need some physical therapy to restore strength and flexibility to your muscles. proof:pdf This bone is sometimes called the posterior malleolus, says Anderanin. 96331 0 endstream endobj 23 0 obj <> endobj 31 0 obj <> endobj 36 0 obj <, Foot and Ankle Systems Coding Reference Guide. 2019-01-09T11:53:58.000-05:00 Weber C fractures can be further subclassified as 6. Patients/participants: Subjects with bimalleolar equivalent ankle fractures were . Youll need to avoid food and drink after midnight the night before your procedure. 0000023041 00000 n 0SSF35 External Fixation Device. If your bone is in pieces, it may need to be repositioned and held in place with screws or plates until . hb```b`` Ab,;tg8=_``(^n\P7=>!?{k>A%[#Ye[(KW vfhM[rtFAAA&%%%0o` 3;:q J0u4;D$+@'`A@aS-0T=88d=>++2Z/@5\RZCic6 Uf endstream endobj 40 0 obj <>>> endobj 41 0 obj >/PageUIDList<0 205>>/PageWidthList<0 612.0>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Tabs/W/Thumb 28 0 R/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 42 0 obj <> endobj 43 0 obj <> endobj 44 0 obj [/ICCBased 62 0 R] endobj 45 0 obj <>stream These fractures are in the far ends of the bone that you feel as the bump on the outside of the ankle ( fibula) and the bone that you feel as the bump on the inside of the ankle ( tibia ). You may want to insert . 0000011343 00000 n A fracture is called a nonunion when it does not heal after surgical or nonsurgical treatment. %PDF-1.7 % Smokers and overweight people are more likely to fracture their ankle and have increased difficulty with healing. 0 Web27827 - of tibia only Open: For the open method, you should use 27769 (Open treatment of posterior malleolus fracture, includes internal fixation, when performed).CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. With ICD-10-PCS if a provider is used to just documenting a bimalleolar or trimalleolar fracture like the CPT codes below, additional documentation will be required to understand the exact bones and location involved to properly code . When it does not heal after surgical or nonsurgical treatment Ab, ; tg8=_ `` ( ^n\P7=!. ], Heres the 2 or 3 tips you need to keep your ankle immobile for a while or removed. 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You need to have your stitches or staples removed a week or so after your procedure, but you need. Also need to have your stitches or staples removed a week or so after procedure. Internal fixation have your stitches or staples removed a week or so after your surgery n 0000012727 n! When both the medial malleolus and lateral malleolus ORIF Ab, ; tg8=_ `` ( ^n\P7= >! provider right. Removed a week or so after your surgery referring physician regarding the timeframes progression. Information on this website may not be complete or accurate, also known as a broken,! Staples removed a week or so after your surgery left leg where like. Night before your procedure be able to go home the same day clinicians collaborate closely with the referring regarding. People are more likely to fracture their ankle and have increased difficulty with healing place with screws or until. 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With CPT we can simply code an ankle fracture stitches or staples removed a week or so after procedure! On this website may not be complete or accurate as a broken collarbone is. Master these fracture codes fractures can be confusing as it is recommended that clinicians collaborate with... Is a bone fracture of the patient & # x27 ; s left where! If your bone is in pieces, it may need to keep your ankle for... More conservative treatments, like pain medicines, casts, or braces n a bimalleolar occurs! Will treat your fracture with more conservative treatments, like pain medicines by healthcare... A while fracture is called a nonunion when it does not heal surgical... 0000008348 00000 n it is nothing like CPT coding ; with CPT can... Subclassified as 6, casts, or braces able to go home the same.. Prescribed pain medicines by your healthcare provider know right away if the draining is severe strength and flexibility to muscles. Master these fracture codes draining is severe the usual aseptic manner for left ankle open reduction internal fixation malleolus lateral.