In addition to a physical exam, X-rays and other imaging studies may be performed to understand the extent of the injury and arrive at the diagnosis. The ICD-10 codes for LisFranc injury are: S93.324 – Dislocation of tarsometatarsal joint of right foot, S93.325 – Dislocation of tarsometatarsal joint of left foot.
2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. ICD-10-CM Diagnosis Code S92.902B [convert to ICD-9-CM] Unspecified fracture of left foot, initial encounter for open fracture. Unsp fracture of left foot, init encntr for open fracture; Open fracture of left foot; Open left foot fracture.
Oct 01, 2021 · S92.302A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Fracture of unsp metatarsal bone(s), left foot, init The 2022 edition of ICD-10-CM S92.302A became effective on October 1, 2021.
synonyms:Lisfranc fracture, lisfrance fracture-dislocation, tarsometatarsal joint injury, tarsometatarsal fracture-dislocation, tarsometatarsal dislocation LisFranc ICD-10 S93.324A - Dislocation of tarsometatarsal joint of right foot, initial encounter S93.325A - Dislocation of tarsometatarsal joint of left foot, initial encounter
LisFranc Anatomy. Lisfranc's ligament arises from lateral surface of medial cuneiform and inserts onto the medial aspect of the second metatarsal base near the plantar surface.
A/P view: medial border of second metatarsal is in line with medial border of middle cuneiform. 1st MT aligns with medial and lateral borders of medial cuneiform. 1st 2nd intermetatarsal space is continuous with the intertarsal space of the medial and middle cuneiforms. (Stein Foot Ankle 1983;3:286). Distance between 1st and 2nd MT bases up to 3mm considered normal (Coss, Foot Ankle Int 1998;19:537).
If any concern for compartment syndrome, check compartment pressures. Absolute pressure >40mmHG indicates need for fasciotomy.
Stress radiographs indicated if tenderness and swelling noted on exam. This can be done under ankle block. A/P with forefoot in abduction, lateral with forefoot in plantar flexion while midfoot/hindfoot held in neutral