Full Answer
V54. 01 Encounter for removal of internal fixation device.
2022 ICD-10-CM Diagnosis Code Z47. 2: Encounter for removal of internal fixation device.
ICD-10 Code for Displaced bimalleolar fracture of right lower leg- S82. 841- Codify by AAPC.
ICD-10 code Z87. 81 for Personal history of (healed) traumatic fracture is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
20670 - is for the simple removal of hardware, usually in the office. If an incision is performed, it's very shallow. 20680 - requires an deep incision (usually through muscle) and visualization of the hardware by the surgeon. Only reported in the OR, never in the office.
Painful hardware is not a complication of the injury that is why it is not coded as sequel.
"Bimalleolar" means that two of the three parts or malleoli of the ankle are fractured. (Malleoli is plural for malleolus.) In most cases of bimalleolar fracture, the lateral malleolus and the medial malleolus are fractured and the ankle is not stable.
A "bimalleolar equivalent" fracture means that in addition to one of the malleoli being fractured, the ligaments on the inside (medial) side of the ankle are injured. Usually, this means that the fibula is broken along with injury to the medial ligaments, making the ankle unstable.
CPT® Code 27822 in section: Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus.
Z87. 81 - Personal history of (healed) traumatic fracture | ICD-10-CM.
Fractures are coded using the appropriate 7th character extension for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
Pathological fracture, right ankle, initial encounter for fracture. M84. 471A 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 M84.