Orthopedic Coding Alert

Reader Questions:

Master Lateral Malleolus Ankle Fracture Dx Codes

Question: Encounter notes indicate that the provider treated a patient with “displ Fx, lat malleolus, R fibula.” This was an initial encounter for an open fracture type IIA. What ICD-10-CM code should I report for this injury?

Answer: You should report S82.61XB (Displaced fracture of lateral malleolus of right fibula, initial encounter for open fracture type I or II) on your claim.

Lateral malleolus ankle facture defined: When a patient has a lateral malleolus fracture, he has a fracture at the end of his fibula.