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Other fracture of unspecified lower leg, initial encounter for closed fracture

ICD10CM code

Name of the Condition

  • Other Fracture of Unspecified Lower Leg, Initial Encounter for Closed Fracture
  • ICD-10 Code: S82.899A

Summary

  • This condition refers to a non-specific fracture in the lower leg where the bone remains unbroken through the skin — a closed fracture. It is initially assessed without additional details on the specific bone or nature of the fracture involved.

Causes

  • This type of fracture typically results from trauma or impact to the lower leg, such as falls, sports injuries, or car accidents.

Risk Factors

  • Factors include participation in high-impact sports, osteoporosis, age-related bone weakening, vehicular accidents, and occupations involving physical labor.

Symptoms

  • Symptoms can include pain, swelling, bruising, difficulty bearing weight, and visible deformity or instability in the lower leg.

Diagnosis

  • Diagnosis typically involves a physical examination along with imaging tests such as X-rays or MRIs to assess the fracture's extent and precise location.

Treatment Options

  • Treatment may involve immobilization using a cast or splint to allow the bone to heal naturally. In some cases, physical therapy or surgical intervention, such as the insertion of screws or plates, may be necessary to ensure proper alignment and healing.

Prognosis and Follow-Up

  • With appropriate treatment, most fractures heal within a few months, although recovery may be slower in older adults. Regular follow-ups with a healthcare provider ensure the fracture heals correctly.

Complications

  • If not properly treated, complications can include chronic pain, improper healing, reduced mobility, or development of arthritis in the joint near the fracture.

Lifestyle & Prevention

  • Maintaining bone health through a balanced diet rich in calcium and vitamin D, regular weight-bearing exercise, and avoiding smoking can help prevent fractures. Protective gear while engaging in sports or high-risk activities can also reduce risk.

When to Seek Professional Help

  • Immediate medical attention should be sought if there is intense pain, inability to move the leg, numbness, or if the bone is visibly out of place.

Additional Resources

Tips for Medical Coders

  • Ensure you use the correct ICD-10 code: S82.899A, which is specific for initial encounters of closed fractures of an unspecified lower leg.
  • Avoid confusion with open fractures, which would require a different code. Ensure documentation specifies "closed fracture" to accurately code.

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