ICD 10 CM S82.436C | Description & Clinical Information

ICD 10 S82.436C describes a specific type of fracture in the central portion of the fibula, which is the smaller bone in the lower leg, characterized by a vertical break line that runs diagonally and results in misalignment of the fracture fragments, and may be caused by a combination of bending and twisting forces, a slanted blow to the side of the leg, overuse injuries, or conditions such as osteoporosis, and is classified as type IIIA, IIIB, or IIIC based on the Gustilo classification for open long bone fractures, and the provider does not specify which fibula is affected at the initial encounter for a fracture exposed through a tear or laceration of the skin caused by the fracture or by external trauma.

Official Description Of S82.436C

The ICD 10 CM book defines ICD 10 code S82.436C as:

Nondisplaced oblique fracture of shaft of unspecified fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC
Parent Code Notes: S82.4

Excludes2: fracture of lateral malleolus alone (S82.6-)

Parent Code Notes: S82

Includes: fracture of malleolus

Excludes1: traumatic amputation of lower leg (S88.-)

Excludes2: fracture of foot, except ankle (S92.-)
periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)

Clinical Information

The diagnosis describes by the ICD 10 CM S82.436C code refers to a specific type of fibula fracture. This type of fracture is considered to be nondisplaced and oblique, which means that the break in the bone is at an angle but the bone has not shifted out of its normal position.

Individuals with this type of fracture may experience a range of symptoms, including swelling, bruising, and tenderness to the touch, particularly around the fracture site. They may also experience loss of some function and possible deformity in the lower leg. If the fracture is an open one, bleeding may occur, and there may be numbness or tingling if nerve supply is damaged. Moreover, individuals may also experience sharp or increasing pain on the outside of the leg, which can be especially painful with standing or walking.

Healthcare providers diagnose this type of fracture by conducting a thorough medical examination, which includes a complete neurovascular and musculoskeletal examination of the affected leg. Providers may also request imaging studies such as anteroposterior (AP) and lateral X-rays, computed tomography (CT), magnetic resonance imaging (MRI), or bone scans to identify any hairline type fractures or stress fractures. Laboratory studies may also be necessary to help identify additional injuries.

Treatment for this type of fracture typically involves a combination of therapies aimed at reducing or managing individual symptoms. These can include ice, compression, and elevation of the affected leg, as well as immobilization of the leg in a boot, brace, cast, or other external fixation device. Closed and stable fractures may not require surgery, but unstable fractures require fixation, including possible use of a rod, plate, or screws. Open fractures require surgery to close the wound.

Other effective treatment options include exercises to improve flexibility, strength, and range of motion. Medications such as analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to help manage pain associated with the fracture. In addition, any other secondary injuries or conditions must also be treated to promote healing and reduce the risk of further complications.

In conclusion, the ICD 10 CM S82.436C diagnosis code describes an oblique fracture to the shaft of an unspecified fibula. This type of fracture requires urgent medical attention, thorough diagnosis, and appropriate treatment to ensure optimal recovery and prevent the development of further complications. By following recommended treatment options, individuals can recover from this type of fracture, restore mobility and function and return to their normal activities of daily living.

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