ICD 10 CM S82.444G | Description & Clinical Information

ICD 10 S82.444G describes a specific type of fracture in the right fibula, where the bone has a break line that spirals around the long cylindrical part of the bone, without any misalignment of the fracture fragments, and is typically caused by trauma such as a violent torsion or twisting force from a sports injury, being hit by a motor vehicle, a fall from a high elevation, or from conditions such as osteoporosis or cancer in the elderly, and this code is used for a subsequent encounter for delayed healing of a closed fracture that was not exposed through a tear or laceration in the skin.

Official Description Of S82.444G

The ICD 10 CM book defines ICD 10 code S82.444G as:

Nondisplaced spiral fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing
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-)

When To Use S82.444G

The diagnosis describes by ICD-10 CM code S82.444G is a type of fracture that affects the shaft of the right fibula. This condition can result in a range of symptoms including swelling, bruising, and tenderness at the site of the fracture, as well as difficulty moving the leg, restricted range of motion, and possible deformity in the leg and/or ankle.

When diagnosing this condition, medical providers will typically rely on a combination of the patient’s medical history and physical examination, including thorough musculoskeletal and neurovascular examinations of the affected limb. Providers may also use imaging tests like X-rays or CT scans to determine the severity of the injury and any associated ankle injuries, as well as to identify hairline fractures or pathologic fractures that may be present. Additional laboratory studies may also be necessary to aid in diagnosis.

The appropriate course of treatment for a nondisplaced spiral fracture of the fibula will depend on the severity of the fracture. Stable and closed fractures may require immobilization of the affected leg using a splint or cast. In these cases, the goal of treatment is to restrict limb movement and prevent further injury. However, unstable fractures may require more invasive treatments like open or closed reduction and fixation, or even surgery to close the wound.

Patients diagnosed with this condition may also be prescribed pain relievers, either narcotic analgesics or nonsteroidal anti-inflammatory drugs (NSAIDs), depending on the severity of their pain. As the healing process progresses, exercises may be recommended to improve flexibility, strength, and range of motion in the affected limb.

It’s important for both medical providers and patients to understand the potential risks associated with this type of injury, as well as the appropriate treatment options available. Following a proper treatment plan can improve outcomes and ensure that the patient makes a full recovery.

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