Orthopedic Coding Alert

Reader Questions:

Use This Code Set for Medial Malleolus Fracture

Question: Encounter notes indicate that a patient has “nondisp Fx, medial malleolus, L tibia.” This was an initial encounter for a closed fracture. What is a medial malleolus fracture, and what ICD-10-CM code should I report on my claim?

Answer: You should report S82.55XA (Nondisplaced fracture of medial malleolus of left tibia, initial encounter for closed fracture) on your claim.

Medial malleolus fracture defined: A medial malleolus fracture is a fracture of the inner side of the ankle at the end of the tibia.