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help me! Tillaux fx

  1. #1
    Salt Lake City
    Default help me! Tillaux fx
    Medical Coding Books
    What is the definitive icd 9 code for tillaux fx? Is it considered to be malleolus or tibial shaft or is it ankle nos?

    I come across this about every week.

  2. #2
    Greater Orlando

    I find no reference to tillaux in my Taber's or the Index to ICD-9. Using Dogpile (metasearch engine), I find that it is an eponym describing an avulsion fracture in which "[t]he anterior tibio fibular ligament avulses piece of epiphysis resulting in a Salter-Harris type-III fracture of the anterolateral portion of the distal tibia."

    So, I would use Fx of the tibia, distal end, 824.8 (closed) or 824.9 (open).

    Ron McKenzie, CPC-A
    Greater Orlando FL Chapter

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