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
Lisfranc fracture-dislocation S93.326A 838.03 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
This injury can be caused by a high-energy blow to the foot or by a twisting fall. (Lisfranc was a surgeon in Napoleon's army; thus, the name is based on his description of the injury suffered by a soldier who fell off a horse with his foot trapped in the stirrup.)
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. It tightens with pronation and abduction of the forefoot. (de Palma, Foot Ankle Int 1997;18:356)
S93. 326A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S93. 326A became effective on October 1, 2021.
Lisfranc (midfoot) injuries result if bones in the midfoot are broken or ligaments that support the midfoot are torn. The severity of a Lisfranc injury can vary widely — from a simple injury involving one midfoot joint to a complex injury involving many midfoot joints and broken bones.
The MT fractures are also treated by ORIF by separate incisions. CPT code 28615 would be reported for the fixation of the dislocation.
672 Pain in left foot.
The midfoot joint complex is also called the Lisfranc joint. It is named after French surgeon Jacques Lisfranc de St. Martin, who served as a surgeon in the Napoleonic army in the 1800s on the Russian front. He became well known for his proficiency in foot surgery.
Diagnosis and Tests A Lisfranc fracture is diagnosed with a few steps: Describing the injury/what happened (sometimes called a history or narrative evaluation). A physical exam of your feet. Imaging tests like X-rays, an MRI or a CT scan.
The midfoot is the middle region of the foot, where a cluster of small bones forms the arch on the top of the foot. From this cluster, five long bones (metatarsals) extend to the toes. The bones are held in place by strong ligaments, known as the Lisfranc joint complex, that stretch both across and down the foot.
CPT® Code 28615 in section: Fracture and/or Dislocation Procedures on the Foot and Toes.
28485 (open treatment of metatarsal fracture, with or without internal or external fixation, each) x4.
ICD-10 Code for Nondisplaced fracture of fifth metatarsal bone, right foot, initial encounter for closed fracture- S92. 354A- Codify by AAPC.
ICD-10 code M79. 67 for Pain in foot and toes is a medical classification as listed by WHO under the range - Soft tissue disorders .
671 Pain in right foot.
A mild Lisfranc fracture can often be treated the same way as a simple sprain — with ice, rest, and by elevating the injured foot. Your doctor may recommend you use crutches to help with the pain that can occur upon walking or standing. More severe injuries might require you to wear a cast for up to six weeks.
A Lisfranc injury is rare and often misdiagnosed, but it's something to take very seriously. While it's easy to miss-diagnose, it's tough to rehabilitate and can take months to make a full recovery. During this time, be sure to rest and listen to your doctor's instructions.
LisFranc injuries often require surgery. There are times when the bones are lined up in a way that allows them to heal without surgery. In that setting, they generally require a cast or splint and no weight bearing for several weeks to months.
Treatment of a Lisfranc injury depends on the severity of the injury and whether it has resulted in any instability in the midfoot. Unstable injuries often require surgery, while stable injuries can be treated without surgery.
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.
If any concern for compartment syndrome, check compartment pressures. Absolute pressure >40mmHG indicates need for fasciotomy.
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).
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
Dislocation of tarsometatarsal joint of unspecified foot, initial encounter 1 S93.326A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Dislocation of tarsometatarsal joint of unsp foot, init 3 The 2021 edition of ICD-10-CM S93.326A became effective on October 1, 2020. 4 This is the American ICD-10-CM version of S93.326A - other international versions of ICD-10 S93.326A may differ.
The 2022 edition of ICD-10-CM S93.326A became effective on October 1, 2021.