Planning & Preparation. Your healthcare provider might tell you to keep your ankle elevated for a certain period of time after your surgery. Also, let your healthcare provider know if there is increased redness, swelling, severe pain, or loss of feeling in your leg, or if you get a high fever or chills. As with a bimalleolar fracture, an X-ray is used to confirm a trimalleolar fracture and it is treated with manipulation and/or open treatment. The left lower extremity was then scrubbed, prepped and draped in the usual aseptic manner for left ankle open reduction internal fixation. (such as a proximal and distal fracture site). After the surgeon reduced the fracture, an incision was made over the posterolateral border of the distal fibula and the syndesmotic injury . Your email address will not be published. 27810 ( with manipulation) typically, the medial, distal, end of the tibia, or medial malleolus; and the distal, outside, end of the fibula, or lateral malleolus. 0000002710 00000 n Youll report these fracture fixes with the following codes: You might need ORIF for a fracture that occurs anywhere along your ankle. When I started my education in medical coding, I had so many questions. The procedure code 0QSK06Z is in the medical and surgical section and is part of the lower bones body system, classified under the . 2825763434 Bi- means two; -malleolar pertains to the malleolus, the rounded, bony protuberance on each side of the ankle joint. Adobe PDF Library 15.0 Understanding the ICD-10-CM coding guidelines related to fracture coding is critical in this Name That Code coding exercise. When a patient reports with an ankle fracture, there are several considerations the coder must take into account. Pulmonary embolism = 0.34%, Wound infection 1.44%, Revision ORIF = 0.82%, BKA = 0.16%, Mortality =1.07% (SooHoo NF, JBJS 2009;91:1042), Peroneal tendon pathology: associated with low plate placement with a prominent screw head in the distal hole. Viewhistorical information about the code including when it was added, changed, deleted, etc. The patient was indicated for open reduction and internal fixation based on the unstable fracture pattern. Only one of these bones might break, or you might have a fracture in 2 or more of these bones. The note says that the physician only treated the lateral side w/ORIF and the medial side was treated in a closed manner. Lateral malleolus fracture with tibio-talar instability Motor vehicle accidents, tripping or falling, contact sports, and twisting your ankle are some of the more common sources of injury that can lead to an ankle fracture. The 7th character, K is used to indicate the patient was seen previously for the fracture treatment and is now returning for subsequent care for the non-union. Before we provide the answer, lets learn a little about bimalleolar fractures. While the information on this site is about health care issues and sports medicine, it is not medical advice. Physical function and role physical scores remain significantly lower than US norms at 24 months after operative fixation. Orthobullets Technique Guides cover information that is "not testable" on ABOS Part I, mark out lateral malleolus and anterior and posterior borders of fibula, mark estimated location of fracture site (check with C-arm if unsure), straight longitudinal incision 4-6cm in length centered on fracture, make incision along posterior fibula if access to the posterior malleolus is needed, create full thickness flaps over distal fibula; hemostatsis with cautery, proximally, use tenotomy scissors to spread subcutaneous tissue in vertical direction with minimal soft tissue stripping, identify superficial peroneal nerve with more proximal fractures, 2-3mm subperiosteal dissection at fracture edges with scalpel, extraperiosteal dissection more proximal and distal to fracture site with knife and/or wood handled elevator, remove hematoma and interposed soft tissue with, use reduction tenaculums to reduce fracture using hand rotation and contralateral thumb to help guide fragments together, lobster clamp has good hold on bone but damages more periosteum, pointed clamps have a more fine-tuned feel for reduction, need to be perpendicular to vector of fracture line, apply pressure, then pronate hand to bring fibular out to length for right sided fractures, supinate for left sided fractures (SER patterns), use another clamp to hold reduction once achieved, determine length of 1/3 tubular plate needed ( typically 6-8holes), after fracture prepared, identify apex of fracture spike posteriorly, place plate posteriorly over spike, ensuring appropriate proximal-distal placement, anteromedial approach to medial malleolus and ankle, use 2.5mm drill bit to drill from tip of malleolus proximally, insert 2 parallel k-wires from 4.0mm cannulated screw set across fracture site, k-wires to be overlapping on AP view and directed ~60 degrees up through fracture avoiding articular surface, on lateral view, K-wires need to be parallel and evenly spaced apart, contralateral hand dorsiflexes and externally rotates foot, 3-0 nylon for skin with horizontal mattress stitches, in diabetics or patients with high risk for skin breakdown use modified Allgower-Donati stitch to reduce tension on skin, advance weight-bearing status in CAM boot, if syndesmotic screw(s) placed, need to be non-weightbearing, superficial and deep infections (1-2%, up to 20% in diabetics, peripheral neuropathy), hardware loosening and/or failure (highest incidence in neuropathic patients), Leg Compartment Release - Single Incision Approach, Leg Compartment Release - Two Incision Approach, Arm Compartment Release - Lateral Approach, Arm Compartment Release - Anteromedial Approach, Shoulder Hemiarthroplasty for Proximal Humerus Fracture, Humerus Shaft ORIF with Posterior Approach, Humerus Shaft Fracture ORIF with Anterolateral Approach, Olecranon Fracture ORIF with Tension Band, Olecranon Fracture ORIF with Plate Fixation, Radial Head Fracture (Mason Type 2) ORIF T-Plate and Kocher Approach, Coronoid Fx - Open Reduction Internal Fixation with Screws, Distal Radius Extra-articular Fracture ORIF with Volar Appr, Distal Radius Intraarticular Fracture ORIF with Dorsal Approach, Distal Radius Fracture Spanning External Fixator, Distal Radius Fracture Non-Spanning External Fixator, Femoral Neck Fracture Closed Reduction and Percutaneous Pinning, Femoral Neck FX ORIF with Cannulated Screws, Femoral Neck Fracture ORIF with Dynamic Hip Screw, Femoral Neck Fracture Cemented Bipolar Hemiarthroplasty, Intertrochanteric Fracture ORIF with Cephalomedullary Nail, Femoral Shaft Fracture Antegrade Intramedullary Nailing, Femoral Shaft Fracture Retrograde Intramedullary Nailing, Subtrochanteric Femoral Osteotomy with Biplanar Correction, Distal Femur Fracture ORIF with Single Lateral Plate, Patella Fracture ORIF with Tension Band and K Wires, Tibial Plateau Fracture External Fixation, Bicondylar Tibial Plateau ORIF with Lateral Locking Plate, Tibial Plafond Fracture External Fixation, Tibial Plafond Fracture ORIF with Anterolateral Approach and Plate Fixation, Ankle Simple Bimalleolar Fracture ORIF with 1/3 Tubular Plate and Cannulated Screw of Medial Malleol, Ankle Isolated Lateral Malleolus Fracture ORIF with Lag Screw, Calcaneal Fracture ORIF with Lateral Approach, Plate Fixation, and Locking Screws, RETIRE Transtibial Below the Knee Amputation (BKA). Post-op: bulky jones dressing, NWB, elevation. Treatment of an ankle fracture xmp.id:41edf1cc-60be-495f-aaf4-2fc2f154e384 In the Tabular listing, we can verify the correct code as: S82.841K, Displaced bimalleolar fracture of right lower leg, subsequent encounter for closed fracture with nonunion. 0QSK06Z is a billable procedure code used to specify the performance of reposition left fibula with intramedullary internal fixation device, open approach. I received my A.S. degree in Medical Billing and Coding and graduated with highest honors. Bimalleolar and trimalleolar ankle fractures are specific types of injuries that commonly occur because of trauma, such as slips on the ice, a fall down stairs, sports injuries, and car crashes. There are many options for operative fracture treatment, which has advanced with development of new and custom metal implants. Youll report these fracture fixes with the following codes: {GEfj=N8TIe;ghE>92 8Frx1Z@2gN bj{lqJ]DH" T/ofExXwU<6]rk&V9$BBOZ&J${FS>vt]S/ rr0-PlR6qR|boeyc7H6+O OtRz^r MY!"zV9pv4+vvid-ct0#}E y;5VcXHf\w=(]IN"("IJ0U:SxwsbC*W 8(-Al8, HuQ6Blj"}[NkR1&"-ULn A 7th character is added to all codes from category S82. Three bones make up the ankle joint. You probably wont need ORIF unless there is some reason your fracture might not heal normally with these conservative treatments. 0000005447 00000 n CPT codes should be selected based only upon choosing the code(s) that most accurately reflect the service(s) provided. Bimalleolar = 2 Bones Your email address will not be published. Adobe PDF Library 15.0 The defining characteristic of a trimalleolar ankle fracture is simple as well. iy!ceGcp5vg @)q4Xm[- (#"2p}{9Q{rc3n"PT,b|S~FIhU"8Pg NOAkH . Cpt code description opps status indicator ambulatory payment classification asc payment indicator arthrodesis 27870 arthrodesis, ankle, open j1 5115 j8 27871 . When a [], Go Deep Into Notes to I.D. 0SSF0ZZ Reposition Right Ankle Joint, Open Approach. The description for 27814 Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed. The tourniquet was then inflated. Malleoli is plural for malleolus. Many ankle fractures take several months to heal completely, but you should be able to resume many activities before this time. Click Here. Certain medical conditions may make fracturing your ankle more likely. 0000007129 00000 n Before your procedure, a healthcare professional will take your health history and do a physical exam. It is important to know the difference between the two in order to assign the right codes. View calculated CPT fee values specifically for your Medicare locality. CPT 27810 (closed treatment of bimalleolar ankle fracture, including Pott); with manipulation) with no qualms. C2: diaphyseal fracture of the fibula . February 27, 2023 By restaurants on the water in st clair shores By restaurants on the water in st clair shores The note says that the physician only treated the lateral side w/ORIF and the medial side was treated in a closed manner. Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. ORIF isn't for minor fractures that can be healed with a cast or splint. A healthcare provider will carefully watch your heart rate, blood pressure, and other vital signs during the operation. The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care". from application/x-indesign to application/pdf Also, let your healthcare provider know the last time you ate. A bimalleolar fracture occurs when both the medial malleolus and lateral malleolus are broken. Lateral Malleolus Fracture ICD-9. The defining characteristic of a bimalleolar ankle fracture is actually quite simple. A bimalleolar ankle fracture will involve two bones: typically, the medial, distal, end of the tibia, or medial malleolus; and the distal, outside, end of the fibula, or lateral malleolus. OpenType - PS #4. Body Fractures Procedure Cpt Code - Peekapoo. In this case, the bimalleolar ankle fracture is a traumatic fracture because it was caused by an injury (falling off a curb). patient supine with feet at end of bed and bump under hip for neutral limb rotation. trailer <<3F76107E66E14089A66C8C66CBD010A1>]/Prev 102250>> startxref 0 %%EOF 66 0 obj <>stream Open fractures are reported using the Gustilo-Grade Classification system (Types I, II, IIA, etc.). 35 0 obj <>>> endobj 62 0 obj <>stream He has a previous bimalleolar fracture of this ankle after slipping and falling off a curb. 824.2 lateral malleolus closed: .3 open; 824.4 bimalleolar closed: .5 open; . 27822 (Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip) 7-10 Days: Wound check, functional Air-Stirrup ankle brace (Aircast). 6 Weeks: Assess xrays for union. 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc; 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc Tell your healthcare provider about all the medicines you take, including over-the-counter medicines like aspirin. 27822 - CPT Code in category: Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus. To code for fractures, the providers documentation should include such information as: If you enjoy this article, please share it. WebWith 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.CPT Code information is available to subscribers and includes the CPT code number, short description, long 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 with ICD-10-PCS. Name That Code - Bimalleolar Ankle Fracture (icd-10-cm) The nonunion is a complication of the fracture. The procedure is often described as an ankle fracture open reduction internal fixation (ORIF). 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 . Because from I'm reading it looks like just that but we can not infer as coders so it must be presented in writing. Treatment course: While a trimalleolar fracture features three broken bones, there can also be ligament damage in addition of these fractured bones in many cases; again, caused by a twisting or rolling of an ankle, Anderanin explains. These are the tibia (shinbone), the fibula (the smaller bone in your leg), and the . One of the most important is whether the patient suffered a bimalleolar or trimalleolar ankle fracture. In some cases, your healthcare providers might do your ORIF a little later, so the swelling in your ankle can go down first. The fracture is displaced. (ICD-9/10, CPT, Modifiers, . We NEVER sell or give your information to anyone. Gtes htels chambres d'htes et campings de Vende au bord de la mer, dans le Marais Poitevin ou autour du Puy du Fou. converted The 7th character, "K" is used to indicate the patient was seen previously for the fracture treatment and is now returning for subsequent care for the non-union. 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. . Driving: may drive after 9 weeks for right leg. 0SSG4 Percutaneous Endoscopic. 2008-2023 eORIF LLC. Many people dont. 0SSF3 Percutaneous. Bimalleolar-Treatment = ORIF. 0SSF35Z Reposition Right Ankle Joint with External Fixation Device, Percutaneous Approach. Now available! CT performed after fixator to better delineate fracture pattern. All Rights Reserved. Closed bimalleolar fracture of left ankle; Left bimalleolar (lower leg bones) fracture; ICD-10-CM S82.842A is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0):. 0000002675 00000 n 27808 (Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation) In the ICD-10-CM Alphabetic Index, look up Fracture, traumatic (abduction) (adduction) (separation)/ankle/bimalleolar (displaced) S82.84-. You might need this procedure to treat your broken ankle. With this type of injury, the other bone in the lower leg, the fibula, is frequently broken as well. We are vaccinating all eligible patients. You will be able to see the most common modifiers billed to Medicare along with this code. The entire operation usually takes place while you are asleep under general anesthesia. 26720 - Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb. M25.571 - Pain in right ankle and joints of right foot. Now I help entry-level coding students by sharing my tips and tools so that they too can become successful medical coders. You might have some drainage from your incision, which is normal. 0SSG3ZZ Reposition Left Ankle Joint, Percutaneous Approach. Slate Pro Bimalleolar Fractures. Musculoskeletal System and Connective Tissue, ICD-10-CM Official Guidelines for Coding and Reporting, Nasal Fracture and Treatment Coding Challenge, Rib Fractures With Flail Chest and ORIF Coding Challenge, Strengthen Your Vertebroplasty and Kyphoplasty Coding Skills, Osteoporotic Compression Fractures: Medical Terminology, Open (broken bone that penetrates the skin) or closed (broken bone that does not penetrate the skin), Displaced (bone breaks and moves out of alignment) or nondisplaced (bone breaks but does not move out of alignment), Episode of care: initial care, subsequent care in the healing phase, or sequela. This might involve special screws, plates, rods, wires, or nails that the surgeon places inside the bones to fix them in the correct place. It can be treated by ORIF procedure. 0SSF35 External Fixation Device. endstream endobj 23 0 obj <> endobj 31 0 obj <> endobj 36 0 obj <, Foot and Ankle Systems Coding Reference Guide. Ask if there are any medicines you should stop taking ahead of time, like blood thinners. 0 Smokers and overweight people are more likely to fracture their ankle and have increased difficulty with healing. PCS coding can be confusing as it is nothing like CPT coding; with CPT we can simply code an ankle fracture. These two bones articulate with the talus to form the ankle, or tibiotalar joint. Since there are injuries . Thank you for choosing Find-A-Code, please Sign In to remove ads. Required fields are marked *, document.getElementById("comment").setAttribute( "id", "a151a3f18183a052af6d0e320652cd17" );document.getElementById("db3b1e8987").setAttribute( "id", "comment" );Comment *. 9ec7c033442fdf52f59ec073bdba0979209115be These are the tibia (shinbone), the fibula (the smaller bone in your leg), and the talus (a bone in your foot). The name of the surgical procedure for repairing ankle fracture with an unstable syndesmosis is called an open reduction with internal fixation. Heres the 2 or 3 tips you need to master these fracture codes. ORIF surgery is only needed for severe fractures. 7 This is the American ICD-10-CM version of S82.84 - other international versions of ICD-10 S82.84 may differ. If you fracture your ankle, you might need ORIF to bring your bones back into place and help them heal. ORIF recovery can last 3 to 12 months. 25574 Open treatment of radial AND ulnar shaft fractures, with internal fixation when performed; of radius OR ulna 25575 Open treatment of radial AND ulnar shaft fractures, with internal fixation when performed; of radius AND ulna 25600 Closed treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal Cpt Code 27823 In Section: Open Treatment Of Trimalleolar . Positioning. False Closed bimalleolar fracture of right ankle; Right bimalleolar (lower leg bones) fracture; ICD-10-CM S82.841A is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0):. No charge. You'll need physical or occupational therapy, pain medication, and lots of rest. OpenType - PS It's often performed as emergency surgery. A pathologic fracture is caused by disease. Save time with a Professional or Facility subscription! You'll report these fracture fixes with the following codes: 27816 (Closed treatment of trimalleolar ankle fracture; without manipulation) 27818 ( with manipulation) 27822 (Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip) 27823 . 2019-01-14T15:52:45.960-06:00 After open reduction of an ankle fracture, the treating surgeon must always evaluate syndesmotic stability. Ankle Fracture ORIF. 28420 Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes . Smokers may also have an increased risk. Codes within the T section that include the external cause do . Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. According to the ICD-10-CM Official Guidelines for Coding and Reporting, a fracture not indicated as open or closed should be coded as closed. A pilon fracture is a type of break that occurs at the bottom of the tibia (shinbone) and involves the weight-bearing surface of the ankle joint. The dislocation is also coded. %PDF-1.7 % fracture may arise as proximally as the level of fibular neck and not visualized on ankle films, requiring knee or full-length tibia-fibula radiographs (Maisonneuve fracture) unstable: usually requires ORIF. cpt code for orif fibula fracture. 24530 - Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension. Make sure to keep all of your follow-up appointments. Helps here: To get the 411 on these fracture types, we asked Lynn M. Anderanin, CPC, CPMA,CPPM, CPC-I, COSC, senior director of coding education at Healthcare Information Services in Park Ridge, Illinois. 8 new Cpt Code For Bimalleolar Orif results have been found in the last 90 days, which means that every 12, a new Cpt Code For Bimalleolar Orif result is figured out. CPT Codes for Non-Operative, Fracture Care without Manipulation. ORIF often takes place as an emergency or urgent procedure. Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. Aftercare --see also Care Z51.89 fracture - code to fracture with seventh character D Barton's fracture S52.56-Bennett's fracture (displaced) S62.21-Birth injury NOS P15.9 fracture bone P13.9 specified NEC P13.8 clavicle P13.4 femur P13.2 humerus P13.3 long bone, except femur P13.3 radius and ulna P13.3 skull P13.0 spine P11.5 tibia and fibula . Oct 29, 2014. Ideally surgery is done before any true swelling or fracture blisters have developed. Fortunately, I had many people to help me along the way. Ankle Pain M25.579. See Documentation, coding, and billing tips for this code. Youll receive instructions about how to move your leg and whether it is OK to put weight on it. Timing of surgery is dictated by the status of the soft tissues. Before making your final code selection, read all the instructional notes, including Includes, Excludes1, Excludes2, and Use additional. 300-400 new vignettes are added each year as codes added, revised and reviewed. The nonunion is a complication of the fracture. Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. Distal radius fracture may be intraarticular or extraarticular. When a patient has arthroscopic [], Heres the 2 or 3 tips you need to master these fracture codes. An X-ray will confirm the fracture, and depending on the severity and displacement, it will be treated with manipulation and/or open treatment, explains Anderanin. 6 Months: Return to sport / full activities. Assign the diagnosis code(s). One of the pins has apparently . 96331 C1: diaphyseal fracture of the fibula, simple. He presents to the hospital for treatment of medial malleolar fracture with syndesmotic injury and underwent open reduction and internal fixation (ORIF) of the fracture with reduction of the syndesmosis. ICD-10-PCS Details. Do not include external cause codes. Internal Fixation 27814 Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, . It may not display this or other websites correctly. Bimalleolar fractures are a type of ankle fracture that involve both the lateral and medial malleoli at the distal ends of the fibula and tibia, respectively. The coding guidelines also state that a fracture not indicated as displaced or nondisplaced should be coded as displaced. Your healthcare provider will make other repairs as necessary. 0000011343 00000 n Staged treatment is often used in open fractures. Attention was then directed to the lateral aspect of the patient's left leg where . Find more COVID-19 testing locations on Maryland.gov. The whole operation may take a few hours. The information on this website may not be complete or accurate. Keep your critical coding and billing tools with you no matter where you work. Save my name, email, and website in this browser for the next time I comment. Site Terms | Copyright Information | ContactUs | Site Registration. 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 . Surgical fixation is required if the fracture is large and out of place. The ankle is supported by ligaments on both the medial and lateral sides that stabilize the foot under . Cpt Code For Orif Fibula Fracture. A fracture is called a nonunion when it does not heal after surgical or nonsurgical treatment. registered for member area and forum access. The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care". Prep and drape in standard sterile fashion. An X-ray will confirm the fracture, and depending on the severity and displacement, it will be treated with manipulation and/or open treatment, explains Anderanin. For example, a note in Chapter 19 indicates code(s) to specify the cause of the injury should be assigned as secondary code(s) from Chapter 20, External causes of morbidity (even though for this particular coding exercise, you are asked not to report for the external causes). reverse_index/reverse_index_content.php?set=CPT&c=27822, cpt/cpt_reference_guidelines_content.php?set=CPT&c=27822, newsletters/newsletter_content.php?set=CPT&c=27822, webacode/webacode_content.php?set=CPT&c=27822, medlabtests/medlabtests_content.php?set=CPT&c=27822, crosswalks/crosswalk_content.php?set=CPT&c=27822, ncciedits/ncci_content.php?set=CPT&c=27822, coverage/coverage_content.php?set=CPT&c=27822, commercial-payers/commercial-payers-content.php?set=CPT&c=27822, NPI Look-Up Tool (National Provider Identifier), Major Complications or Comorbidities (MCC/CC), Create UNLIMITED Customized Fee Schedule reports - for ALL localities, ALL specialties, See fees for ALL localities (all ZIP codes) as well as National fees, Load UNLIMITED Fee Schedules with your fees or fees from your payers, Choose to compare fees (national or adjusted for your locality) from built-in data sets and the fee schedules you enter. The nonunion is a complication of the fracture. In certain types of fractures, your bone breaks but the pieces still line up correctly. 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. Weber C fractures can be further subclassified as 6. Hardware is used to set the pieces of bone together. CPT Coding. S82.851 (A-S) - Displaced trimalleolar fracture of right lower leg. Thank you for this information!! Get timely coding industry updates, webinar notices, product discounts and special offers. Design: Retrospective design. Encourage daily active and passive range-of-motion exercises of the ankle and subtalar joints without the brace. apply pressure, then pronate hand to bring fibular out to length for right sided fractures, supinate for left sided fractures (SER patterns) mark out perpendicular line to fracture and place 2.7/3.5mm drill bit with sleeve on superior ridge of fibula in same perpendicular line. 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. 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