ICD 10 CM S82.423N | Description & Clinical Information

ICD 10 S82.423N describes a specific type of fracture in which the long portion of the smaller, outermost bone of the lower leg, known as the fibula, is completely broken horizontally with misalignment of the fracture fragments, and can be caused by a compression injury, direct blow to the side of the leg, overuse injury, or conditions such as osteoporosis, and is classified as type IIIA, IIIB, or IIIC if it is an open long bone fracture, and if the provider does not specify which fibula is affected at a subsequent encounter for an open fracture, exposed through a tear or laceration in the skin caused by the fracture or external trauma, when the fracture fragments fail to unite.

Official Description Of S82.423N

The ICD 10 CM book defines ICD 10 code S82.423N as:

When To Use S82.423N

The diagnosis code ICD 10 CM S82.423N refers to a specific type of injury located in the lower leg. This injury is characterized by a displaced transverse fracture of the shaft of an unspecified fibula. The consequences of this type of fracture can be significant, including swelling, bruising, and tenderness to the touch, as well as possible loss of function and deformity in the lower leg. Open fractures can result in bleeding and the possibility of nerve damage, leading to numbness or tingling in the affected area.

When diagnosing this condition, providers will generally begin by taking a thorough medical history from the patient and performing a physical examination. This examination will include a complete neurovascular and musculoskeletal evaluation of the affected extremity. In addition to this, providers may order anteroposterior (AP) and lateral X-rays, computed tomography (CT) scans, magnetic resonance imaging (MRI), or a bone scan to identify the type of fracture present. Laboratory studies may also be necessary.

Treatment for a displaced transverse fracture of the shaft of an unspecified fibula will depend on the severity of the injury. For stable and closed fractures, immobilization of the leg in a boot, brace, cast, or external fixation device may be sufficient, along with measures such as ice, compression, and elevation. More severe cases may require surgical fixation, such as the use of a rod, plate, or screws. Open fractures will require surgical intervention to close the wound.

Other treatment options for this type of injury may include exercises designed to improve flexibility, strength, and range of motion. Medications such as analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to address pain and inflammation. Additionally, any secondary injuries will need to be treated effectively to ensure complete healing.

It is essential to note that untreated or inadequately treated fractures of this type can lead to long-term complications such as chronic pain, arthritis, and reduced mobility of the affected limb. Therefore, it is crucial to seek treatment promptly to address this type of injury effectively.

In conclusion, the ICD 10 CM S82.423N diagnosis code represents a specific type of injury that can cause severe pain and functional limitations. Providers must evaluate patients with this diagnosis carefully, taking into account their medical histories, performing thorough physical evaluations, and ordering appropriate diagnostic tests. Effective treatment for this type of injury will include a combination of immobilization, surgical intervention if necessary, medication, and physical therapy. Patients must follow their provider’s recommendations to ensure the best possible outcome and prevent long-term complications.