A talonavicular dislocation is a rare luxation of the foot, often after a high-velocity trauma. Up to 80% of the talonavicular dislocation is medial, 17% lateral. The lateral dislocation can be reduced under sedation with flexion in the knee, longitudinal traction on the foot and lateral pressure on the talus.
Table: CodeICD10 Code (*)Code Description (*)S93Dislocation, sprain and strain of joints and ligaments at ankle and at foot levelS93.0Dislocation of ankle jointS93.1Dislocation of toe(s)S93.2Rupture of ligaments at ankle and foot level4 more rows
Open wound of ankle, foot and toes ICD-10-CM S91. 001A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
The ICD-10 codes for LisFranc injury are: S93. 324 – Dislocation of tarsometatarsal joint of right foot, S93.
Dislocation of left ankle joint, initial encounter S93. 05XA 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. 05XA became effective on October 1, 2021.
CPT® 27840 in section: Closed treatment of ankle dislocation.
Unspecified open wound, left ankle, initial encounter S91. 002A 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 S91. 002A became effective on October 1, 2021.
ICD-10-CM Code for Unspecified open wound, right ankle S91. 001.
M25. 571 Pain in right ankle and joints of right foot - ICD-10-CM Diagnosis Codes.
A Lisfranc dislocation or injury describes a spectrum of injuries involving the tarsometatarsal joints of the foot. The Lisfranc joint is comprised of the articulation between the first, second, and third metatarsals bones and the cuneiform bones.
The 2022 edition of ICD-10-CM S93. 326A became effective on October 1, 2021. This is the American ICD-10-CM version of S93.
A Lisfranc joint injury is a type of injury to the bones or ligaments, or both, in the middle part of your foot. In a Lisfranc joint injury, there is usually damage to the cartilage covering these bones. In the middle region of your foot (midfoot), a cluster of small bones form an arch.
Instead, ICD-10-CM includes an instructional note at the beginning of each category of dislocation (S03, S13. S23, S33, S43, S53, S63, S73, S83, S93) that informs the user to code separately any associated open wound.
Complications of a joint dislocation may include: 1 Tearing of the muscles, ligaments and tendons that reinforce the injured joint 2 Nerve or blood vessel damage in or around your joint 3 Susceptibility to re-injury if you have a severe dislocation or repeated dislocations 4 Development of arthritis in the affected joint as you age
Dislocations may further be defined by positioning: Anterior – The end of the bone is displaced to the anterior, medial, and slightly inferior to its normal anatomic position. Posterior – The end of the bone is displaced posterior to the joint and its normal anatomic position.
For example, nursemaid’s elbow is a partial dislocation common in toddlers. The main symptom is refusal to use the arm. Nursemaid’s elbow can be easily treated in a doctor’s office. A dislocated joint may be accompanied by numbness or tingling at the joint or beyond it. Additional signs and symptoms may include.
ICD-10-CM includes (and requires) seventh characters extensions for most categories in chapter 19. With the exception of fractures, most categories in chapter 19 have three extensions:
Subluxation – Partial of incomplete dislocation of joint
S93.316D is a billable diagnosis code used to specify a medical diagnosis of dislocation of tarsal joint of unspecified foot, subsequent encounter. The code S93.316D is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code S93.316D might also be used to specify conditions or terms like closed fracture dislocation of midtarsal joint, closed lateral dislocation of subtalar joint, closed medial dislocation of subtalar joint, closed traumatic dislocation of navicular bone of foot, closed traumatic dislocation of tarsal joint , closed traumatic dislocation, midtarsal joint, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#S93.316D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like dislocation of tarsal joint of unspecified foot. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.#N#Unspecified diagnosis codes like S93.316D are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
A dislocated joint is an emergency. If you have one, seek medical attention. Treatment depends on which joint you dislocate and the severity of the injury. It might include manipulations to reposition your bones, medicine, a splint or sling, and rehabilitation. When properly repositioned, a joint will usually function and move normally again in a few weeks. Once you dislocate a shoulder or kneecap, you are more likely to dislocate it again. Wearing protective gear during sports may help prevent dislocations.
Dislocations are joint injuries that force the ends of your bones out of position. The cause is often a fall or a blow, sometimes from playing a contact sport. You can dislocate your ankles, knees, shoulders, hips, elbows and jaw. You can also dislocate your finger and toe joints. Dislocated joints often are swollen, very painful and visibly out of place. You may not be able to move it.