
Database research that relies on ICD-10 coding as a surrogate for primary clinical data should be interpreted with caution and institutions should make efforts to increase the accuracy of their coding.Īccuracy Ankle fracture ICD-10 coding Positive predictive value.Ĭopyright © 2021 Elsevier Ltd. For example, a fracture at the end of the fibula is called a lateral malleolus fracture, or if both the tibia and fibular are broken, it is called a bimalleolar. There is substantial discordance between existing EMR and surgeon-assigned ICD-10 codes for ankle fractures. Closed fracture of right medial malleolus Right ankle medial malleolus (lower leg bone) fracture ICD-10-CM S82.51XA is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0). EMR codes were specific but not sensitive. Generalized "other fracture" codes comprised 45% of EMR codes compared to only 6% of assigned codes (p < 0.001). In the ICD-10-CM Alphabetic Index, look up Fracture, traumatic (abduction) (adduction) (separation)/ankle/bimalleolar (displaced) S82.84. Lateral malleolus fracture codes demonstrated the highest PPV (0.91, 95% CI 0.72-0.99), while the lowest PPV was found for "other fractures of the lower leg" (0.05, 95% CI 0.0-0.24) and "other fracture of the fibula" (0.0, 95% CI 0.0-0.15). Aggregate agreement between all codes was fair (K = 0.26).
Icd 10 lateral malleolus fracture code#
Agreement between the correct code and the electronic medical record (EMR) assigned code was determined using kappa's statistic in the aggregate as well as percent agreement, sensitivity, specificity, and positive predictive value (PPV) between individual codes.ĥ9 of 97 cases (60.8%) demonstrated discordance between the existing EMR and surgeon-assigned codes. Codes within the T section that include the external cause do. Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. This is the American ICD-10-CM version of S82.84 - other international versions of ICD-10 S82.84 may differ.

Injury radiographs were reviewed by three authors to determine the correct code. The 2023 edition of ICD-10-CM S82.84 became effective on October 1, 2022. Retrospective cohort study PATIENTS: 97 adult patients with fractures about the ankle (rotational ankle fracture or distal tibia fracture) from 2016 to 2020, selected by stratified random sampling.Īssignment of an ICD-10 code representative of a rotational ankle fracture, pilon fracture, or unspecified fracture of the lower leg.

S82.53 Displaced fracture of medial malleolus of unspecified tibia.
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This is the American ICD-10-CM version of S92.15 - other international versions of ICD-10 S92.15 may differ.
Icd 10 lateral malleolus fracture free#
Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S82.65. A posterior malleolus fracture is a fracture of the back of the tibia. The 2023 edition of ICD-10-CM S92.15 became effective on October 1, 2022.
