S92.013 Displaced fracture of body of unspecified calcaneus

Name of the Condition

• Displaced fracture of body of unspecified calcaneus

Summary

This condition involves a break in the body of the calcaneus (heel bone) where the bone fragments are misaligned. It results from trauma and can impair weight-bearing and mobility, requiring evaluation to determine the extent of displacement and appropriate management.

Causes

High-impact trauma, such as falls from a height or automobile accidents. Direct force to the heel, often seen in sports injuries or workplace accidents.

Risk Factors

• Engaging in high-impact activities or sports.
• Osteoporosis or other bone-weakening conditions.
• Improper footwear or uneven surfaces that increase fall risk.

Symptoms

• Sudden, severe pain in the heel or foot.
• Swelling, bruising, or tenderness around the heel.
• Difficulty or inability to bear weight on the affected foot.
• Visible deformity due to bone displacement.

Diagnosis

Physical examination to assess pain, swelling, and range of motion. Imaging tests, such as X-rays or CT scans, to confirm the fracture, evaluate displacement, and assess surrounding structures.

Treatment Options

• Rest and immobilization with a cast or splint to allow healing.
• Pain management with medications or ice therapy.
• Surgical intervention for severe or displaced fractures to realign the bone.

Prognosis and Follow-Up

Healing time varies, typically 6–12 weeks, depending on fracture severity. Follow-up imaging may be used to monitor healing. Physical therapy is often recommended to restore strength and mobility.

Complications

• Chronic pain or arthritis in the affected joint.
• Nerve damage leading to numbness or weakness.
• Difficulty with long-term mobility or gait abnormalities.
• Nonunion or malunion of the fracture.

Lifestyle & Prevention

• Wear supportive footwear and use proper safety equipment during high-impact activities.
• Maintain bone health through adequate calcium and vitamin D intake.
• Avoid uneven surfaces or hazardous environments that increase fall risk.

When to Seek Professional Help

Seek immediate medical attention if you experience severe heel pain, swelling, or inability to bear weight after an injury. Prompt evaluation is important to assess for fracture and prevent complications.

Tips for Medical Coders

Use this code for a displaced fracture of the calcaneus body when the side (right/left) is not specified. Document the absence of laterality and confirm the fracture is displaced to support accurate coding. Ensure clinical documentation aligns with the fracture type and location for proper code assignment.