S82.455S Nondisplaced comminuted fracture of shaft of left fibula, sequela

ICD10CM code

#### Name of the Condition
- Nondisplaced Comminuted Fracture of the Shaft of the Left Fibula, Sequela (ICD Code: S82.455S)

#### Summary
A nondisplaced comminuted fracture of the shaft of the left fibula refers to a type of bone injury where the fibula has been broken into several pieces but has not shifted out of its normal alignment. The term “sequela” indicates this is a condition that follows or arises as a consequence of a previous fracture.

#### Causes
- Trauma or injury, such as a fall or direct impact to the leg.
- Stress fractures from repetitive force or overuse.
- Prior fractures that did not heal properly.

#### Risk Factors
- Participation in high-impact sports or physical activities.
- Bone conditions such as osteoporosis.
- Previous history of fractures or bone weakness.

#### Symptoms
- Pain or tenderness in the lower leg.
- Swelling and bruising around the fracture site.
- Difficulty bearing weight on the left leg.
- Reduced mobility or range of motion.

#### Diagnosis
- Physical examination to assess injury and pain.
- Imaging tests like X-rays or MRIs to evaluate the fracture's alignment and healing.

#### Treatment Options
- Rest and elevation of the injured leg to reduce swelling.
- Immobilization with a cast or brace to facilitate healing.
- Physical therapy to regain strength and mobility after initial healing.
- Surgery is typically not required unless complications arise.

#### Prognosis and Follow-Up
- The prognosis is generally positive with appropriate care, although full recovery may take several months.
- Regular follow-up appointments to monitor healing progress and prevent complications.

#### Complications
- Improper healing or re-fracture.
- Chronic pain or arthritis in the injured leg.
- Reduced mobility or stiffness.

#### Lifestyle & Prevention
- Engage in weight-bearing exercises to strengthen bones.
- Use protective gear during sports to minimize injury risk.
- Maintain a diet rich in calcium and vitamin D for bone health.

#### When to Seek Professional Help
- Severe pain, swelling, or deformity after an injury.
- Signs of infection such as fever or drainage.
- Pain that does not improve with treatment.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS)
- National Institutes of Health (NIH) on bone health
- Local physiotherapy clinics for rehabilitation strategies.

#### Tips for Medical Coders
- Ensure correct capture of “sequela” to avoid confusion with initial fracture diagnoses.
- Add modifiers to indicate affected side (left fibula) if relevant in the coding system.
- Be vigilant about distinguishing “nondisplaced” and “comminuted” states in documentation.

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