S92.041D Displaced other fracture of tuberosity of right calcaneus, subsequent encounter for fracture with routine healing

ICD10CM code

#### Name of the Condition
- Displaced Fracture of Tuberosity of Right Calcaneus  
- ICD-10 Code: S92.041D

#### Summary
This condition refers to a displaced fracture located at the tuberosity of the calcaneus (heel bone) on the right foot, experienced during a follow-up appointment after initial treatment, indicating routine healing.

#### Causes
- Traumatic injury or impact to the heel
- Falls from a height or sports injuries
- High-stress activities leading to repetitive strain

#### Risk Factors
- Participation in high-impact sports (e.g., basketball, gymnastics)
- Osteoporosis or weak bones
- Poor footwear or foot support
- Occupational hazards where falls are common

#### Symptoms
- Severe heel pain and swelling
- Bruising around the heel
- Difficulty bearing weight on the affected foot
- Visible deformity or abnormal foot positioning

#### Diagnosis
- Physical examination assessing mobility and pain
- Imaging tests like X-rays confirm the fracture and its displacement
- Follow-up imaging to monitor healing progress

#### Treatment Options
- Immobilization using a cast or splint to allow healing
- Pain management with medications such as NSAIDs
- Physical therapy post-recovery to restore movement and strength
- Surgical intervention in cases of severe displacement

#### Prognosis and Follow-Up
- Typically has a positive prognosis with proper treatment 
- Regular follow-ups to ensure bone healing and prevent complications
- Full recovery may take several weeks to months, depending on severity

#### Complications
- Delayed bone union or persistent pain
- Decreased range of motion
- Risk of arthritis in the heel if not properly treated

#### Lifestyle & Prevention
- Wearing supportive footwear
- Engaging in exercises to maintain bone strength 
- Protective gear during sports or risky activities
- Maintaining a healthy weight to lower stress on bones

#### When to Seek Professional Help
- Persistent or worsening pain despite treatment
- Signs of infection (fever, increased swelling or redness)
- Inability to bear weight on the affected heel

#### Additional Resources
- [American Academy of Orthopaedic Surgeons](https://www.aaos.org)
- [American Orthopaedic Foot & Ankle Society](https://www.aofas.org)

#### Tips for Medical Coders
- Verify correct Laterality: Ensure the code reflects the "right" calcaneus.
- Accurate encounter coding: Use 'D' for subsequent encounters with routine healing.
- Check for accompanying codes if there is associated treatment or complications.

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