ICD 10 CM S82.453A | Description & Clinical Information

ICD 10 S82.453A describes a type of fracture known as a displaced comminuted fracture, which involves the breaking of the long cylindrical part of the smaller, outermost bone of the lower leg into three or more interconnected pieces, resulting in misalignment of the fracture fragments, and is typically caused by trauma such as a crushing or direct forceful blow from a motor vehicle accident, sports injury, or fall from a high elevation, as well as conditions like osteoporosis, chronic smoking, or cancer in the elderly, with the provider not specifying which fibula is affected at the initial encounter for a fracture not exposed through a tear or laceration of the skin.

Official Description Of S82.453A

The ICD 10 CM book defines ICD 10 code S82.453A as:

When To Use S82.453A

The diagnosis describes by ICD 10 CM S82.453A code is a comminuted fracture of the shaft of an unspecified fibula. This type of injury can result in a variety of symptoms that can range from mild to severe. Patients may experience swelling, warmth, and bruising at the site of the fracture, as well as intense pain that is exacerbated by weightbearing and may lead to unconsciousness.

In the case of an open fracture, bleeding may be present, while injury to blood vessels and nerves can cause numbness and tingling sensations at the affected site. To diagnose this condition, healthcare providers will conduct a thorough physical examination that includes comprehensive neurovascular and musculoskeletal assessments of the extremity using X-rays, CT scans, MRIs, or bone scans as needed, especially if there is suspicion of a pathologic fracture. Laboratory studies may also be necessary.

Depending on the severity of the fracture, treatment options may vary. Unstable fractures may require open or closed reduction and fixation through the use of nails, screws, plates, or wires. The leg may need to be immobilized using a splint or cast to restrict limb movement. Open fractures will require surgery to close the wound.

Additionally, medical management may include the use of narcotic analgesics and/or nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain. Physical therapy may also be utilized to restore lost function, improve flexibility, strength, and range of motion, and to address any secondary injuries that may have occurred as a result of the fracture.

Overall, healthcare providers must take great care when treating fractures, particularly those that are complex or severe. Proper management and treatment can help alleviate patient discomfort and promote healing, preventing long-term complications and enabling a full return to activities of daily living. It’s essential to discuss any concerns or questions with your healthcare provider and comply fully with their recommended treatment plan to achieve optimal outcomes.