Code
Hierarchy
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S00-T88 Injury, poisoning and certain other consequences of external causes (S00-T88)
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S80-S89 Injuries to the knee and lower leg (S80-S89)
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S82 Fracture of lower leg, including ankle
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S82.5 Fracture of medial malleolus
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S82.54 Nondisplaced fracture of medial malleolus of right tibia
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S82.54XA initial encounter for closed fracture
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S82.54XB initial encounter for open fracture type I or II
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S82.54XC initial encounter for open fracture type IIIA, IIIB, or IIIC
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S82.54XD subsequent encounter for closed fracture with routine healing
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S82.54XE subsequent encounter for open fracture type I or II with routine healing
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S82.54XF subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
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S82.54XG subsequent encounter for closed fracture with delayed healing
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S82.54XH subsequent encounter for open fracture type I or II with delayed healing
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S82.54XJ subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
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S82.54XK subsequent encounter for closed fracture with nonunion
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S82.54XM subsequent encounter for open fracture type I or II with nonunion
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S82.54XN subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
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S82.54XP subsequent encounter for closed fracture with malunion
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S82.54XQ subsequent encounter for open fracture type I or II with malunion
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S82.54XR subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
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S82.54XS sequela
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-
-
-
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Long Title
S82.54XP
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Nondisplaced fracture of medial malleolus of right tibia subsequent encounter for closed fracture with malunion
Notes
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A fracture not indicated as displaced or nondisplaced should be coded to displaced
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A fracture not indicated as open or closed should be coded to closed
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The open fracture designations are based on the Gustilo open fracture classification
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Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
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The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
Use Additional
Includes
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fracture of malleolus
Excludes 1
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pilon fracture of distal tibia (S82.87-)
- S82.87 Pilon fracture of tibia
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Salter-Harris type III of lower end of tibia (S89.13-)
- S89.13 Salter-Harris Type III physeal fracture of lower end of tibia
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Salter-Harris type IV of lower end of tibia (S89.14-)
- S89.14 Salter-Harris Type IV physeal fracture of lower end of tibia
- S88 Traumatic amputation of lower leg
- P10-P15 Birth trauma (P10-P15)
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obstetric trauma (O70-O71)