ICD 10 CM S82.49 | Description & Clinical Information

ICD 10 S82.49 describes a specific type of fracture that occurs in the long central portion of the smaller, outermost bone of the lower leg, known as the fibula, which can be caused by various forms of trauma such as a direct blow to the tibia, being struck by a motor vehicle, and high-speed accidents involving motorcycles and snowmobiles, and is more likely to occur in individuals with osteoporosis or cancer, even from minor trauma, with the provider specifying the nature or type of fibular fracture, which is not named in any other codes in this category.

Official Description Of S82.49

The ICD 10 CM book defines ICD 10 code S82.49 as:

When To Use S82.49

The diagnosis describes by the ICD-10-CM code S82.49 refers to fractures of the fibular shaft that are not classified by any other code. This injury can cause severe pain that intensifies when weight is put on the affected limb. The patient may experience swelling, tenderness, and bruising over the injury site, which can worsen over time if left untreated. In some cases, the damage can become severe, leading to compartment syndrome associated with damage to the soft tissues. If nerve and blood vessel damage accompanies the fracture, numbness and tingling down the lower leg may occur, along with paleness and coolness of the foot.

Medical providers diagnose this condition based on a thorough patient consultation, a physical examination, and laboratory studies. The provider will take note of the patient’s injury history and assess the areas of nerves, blood vessels, and soft tissues for any damage. Laboratory studies may be required to assess the severity of blood loss, blood clotting, muscle injury, and other factors that may impact the injury.

Imaging studies are also essential in diagnosing such fractures. Anteroposterior (front to back) and lateral (from the side) view X-rays are typically used to assess the injury severity. Computed tomography (CT), magnetic resonance imaging (MRI), and/or a bone scan may be ordered if the provider suspects a pathologic fracture or damage to connective tissues (ligaments and tendons).

The treatment for an S82.49 diagnosis varies depending on the severity of the injury. Stable and closed fractures can often be treated with a splint, brace, or cast to restrict limb movement. These injuries rarely require surgery other than regular follow-up visits with the medical provider. Unstable displaced fractures may require open or closed reduction and fixation to realign the bones accurately. Open wounds and associated soft tissue or connective tissue injuries may require surgery to repair the damage.

Compartment syndrome may occur in some instances as a result of this fracture. This condition requires fasciotomy to incise the skin and covering over the muscle to relieve pressure. Pain management is a vital part of treatment, and medical providers may prescribe narcotic analgesics for severe pain and nonsteroidal anti-inflammatory drugs for less severe pain. As the healing process progresses, the use of gradual weightbearing and exercises aimed at improving flexibility, strength, and range of motion may be required.

In conclusion, the ICD-10-CM code S82.49 is a diagnosis of fractures of the fibular shaft that are not classified by any other code. It is essential to consult a medical provider and follow any prescribed treatments for this injury, as untreated injuries can lead to further complications. By following proper treatment, patients can return to their normal range of motion and daily activities with minimal disruption.