Wiki Posterior malleolous fx icd-9 help please

[colham478]

PT HAS TWO DX LISTED -

1. RIGHT TIBIAL FX JUNCTION OF MIDDLE AND DISTAL THIRDS --- I'M USING 823.20

2. POSTERIOR MALLEOLAR FX RIGHT ANKLE

SURGEON IS BILLING 27767 FOR CLOSED TX OF POSTERIOR MALLEOLAR FX W/O MANIP SO I REALLY WANT TO GET THE RIGHT DX FOR THE FX.

SHOULD I USE 824.8- UNSPECIFIED, CLOSED (ANKLE NOS) ?? OR 824.0 - MEDIAL MALLEOLUS (TIBIA INVOLVING ANKLE, MALLEOLUS)?? I'M TORN.

THANKS IN ADVANCE!!
ps... please excuse my spelling today... its been one of those mondays!

 

[moodymom]

My ingenix coding companion says to use 824.0..hope this helps

 

[colham478]

Thanks!!

 

[Kimberly Smith]

January 2008, vOL. 9, nO. 1 Orthopedic Coder's Pink Sheet says to use 824.8 for posterior malleolar fx

 

[armen]

824.8 is correct. You cant use 824.0 (Closed fracture of medial malleolus) because it is for medial malleolus. I would throw away that "ingenix coding companion " if it really states to use 824.0 for posterior malleulus

 

[colham478]

Thanks you guys for all the help!