What are the different types of ankle fractures?
To help figure out what the injury might be, ask yourself a few questions:
S82 is a non-billable ICD-10 code for Fracture of lower leg, including ankle. Herein, what is the ICD 10 code for right ankle fracture? S82. 891B is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM S82. 891B became effective on October 1, 2019.
Coding of a sequela requires reporting of the condition or nature of the sequela sequenced first, followed by the sequela (7th character "S") code....Use of Sequela (7th character "S") Diagnosis CodesM48. 40XS (Fatigue fracture of vertebra, site unspecified, sequela of fracture)S00. ... T36.
ICD-10 code S82 for Fracture of lower leg, including ankle is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
The code that describes the sequela is reported first, followed by the code for the specific injury with a seventh character of S to identify the condition as a sequela of the injury.
Defining Sequela ICD-10-CM says the seventh character S is “for use for complications or conditions that arise as a direct result of an injury, such as scar formation after a burn. The scars are sequelae of the burn.” In other words, sequela are the late effects of an injury.
ICD-10 Code for Unspecified fracture of right lower leg, initial encounter for closed fracture- S82. 91XA- Codify by AAPC.
2022 ICD-10-CM Diagnosis Code S92. 901B: Unspecified fracture of right foot, initial encounter for open fracture.
Some conditions may be diagnosed retrospectively from their sequelae. An example is pleurisy. Other examples of sequelae include those following neurological injury; including aphasia, ataxia, hemi- and quadriplegia, and any number of other changes that may be caused by neurological trauma.
D (subsequent encounter) describes any encounter after the active phase of treatment, when the patient is receiving routine care for the injury during the period of healing or recovery. S (sequela) indicates a complication or condition that arises as a direct result of an injury.
Example 3: A sequela character (“S”) is applied for complications or conditions that arise as a direct result of a condition or injury (in ICD-9, these were known as “late effects”). Examples may include joint contracture after a tendon injury, hemiplegia after a stroke or scar formation following a burn.
However, it is important to note that with a sequela, the acute phase of an illness or injury has resolved or healed, and the sequela is left. Conversely, a complication is a condition that occurs as a result of treatment, or a condition that interrupts the healing process from an acute illness or injury.
Sequela (Late Effects) Coding of sequela generally requires two codes sequenced in the following order: The condition or nature of the sequela is sequenced first. The sequela code is sequenced second.
Definition of sequela 1 : an aftereffect of a disease, condition, or injury. 2 : a secondary result.
The ‘S’ is added only to the injury code, not the sequela code. The seventh character ‘S’ identifies the injury responsible for the sequela. The specific type of sequela (e.g. scar) is sequenced first, followed by the injury code.”.
There is no time limit on when a sequela code can be used. The residual effect may be present early or may occur months or years later. Two codes are generally required: one describing the nature of the sequela and one for the sequela. The code for the acute phase of the illness or injury is never reported with a code for the late effect.
In other words, sequela are the late effects of an injury. Perhaps the most common sequela is pain. Many patients receive treatment long after an injury has healed as a result of pain. Some patients might never have been treated for the injury at all.
The patient isn’t seeking intervention for the initial injury, but for the pain that persists long after. The chronic pain is sequela of the injury.