ICD 10 CM S82.445K | Description & Clinical Information

ICD 10 S82.445K describes a specific type of fracture in the left 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 this injury 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 a closed fracture that is not exposed through a tear or laceration in the skin, when the fracture fragments fail to unite.

Official Description Of S82.445K

The ICD 10 CM book defines ICD 10 code S82.445K as:

Nondisplaced spiral fracture of shaft of left fibula, subsequent encounter for closed fracture with nonunion
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 S82.445K

The diagnosis describes by the ICD 10 CM S82.445K code is a specific type of injury to the fibula bone. This type of injury is referred to as a nondisplaced spiral fracture, which means that the bone has twisted and cracked but has not shifted out of place. Such an injury can cause various symptoms, including swelling, bruising, and tenderness at the site of the fracture. Patients may also experience severe pain when moving the leg or have difficulty moving the leg altogether, along with a restricted range of motion. In some cases, the injury may cause deformity in the leg or the ankle.

To diagnose the condition, healthcare providers typically begin with a detailed medical history and physical examination. This thorough examination should assess the patient’s neurovascular and musculoskeletal systems fully. Still, for confirmation, imaging tests are required, which may include anteroposterior (AP) and lateral X-rays, along with computed tomography (CT) scans to gauge the severity of the injury accurately. Magnetic resonance imaging (MRI) or bone scans may also be necessary to identify hairline fractures or pathologic fractures suspected by the provider. Laboratory studies may also assist in diagnosing any underlying issues that may have contributed to the injury.

The treatment for fibula fractures varies based on the severity of the injury. Stable fractures that are not displaced may only require immobilization of the leg by a splint or cast to restrict limb movement. Unstable fractures, on the other hand, may require open or closed reduction and fixation to realign the bone and stabilize it. Open fractures may also require surgery to close the wound properly. In case of severe ankle injuries or severely compounded or comminuted fractures, surgery may be necessary.

Pain management is a critical aspect of fibula fracture treatment. Pain relief options range from narcotic analgesics to nonsteroidal anti-inflammatory drugs (NSAIDs), depending on the severity of the pain. Patients may need ongoing physical therapy to help with healing and relieving the symptoms. Exercises can help improve flexibility, strength, and range of motion. Patients should follow their doctor’s instructions carefully and attend all appointments to ensure proper healing and prevent complications.

In conclusion, the ICD 10 CM S82.445K diagnosis code refers to a nondisplaced spiral fracture in the shaft of the left fibula bone. Healthcare providers diagnose this condition based on the patient’s medical history and physical examination, along with imaging tests and lab studies. Treatment varies based on the severity of the injury, but pain management and physical therapy are essential aspects of the treatment. Patients should comply with their doctor’s instructions to ensure proper healing and prevent complications.

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