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Pilon fracture icd 9 code7/23/2023 ![]() Short description: Displ pilon fx l tibia, 7thE. Database research that relies on ICD-10 coding as a surrogate for primary clinical data should be interpreted with caution and institutions should make efforts to increase the accuracy of their coding.Īccuracy Ankle fracture ICD-10 coding Positive predictive value.Ĭopyright © 2021 Elsevier Ltd. S82.872E is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. There is substantial discordance between existing EMR and surgeon-assigned ICD-10 codes for ankle fractures. EMR codes were specific but not sensitive. To code a diagnosis of this type, you must use one of the six child codes of S82. Generalized "other fracture" codes comprised 45% of EMR codes compared to only 6% of assigned codes (p < 0.001). Lateral malleolus fracture codes demonstrated the highest PPV (0.91, 95% CI 0.72-0.99), while the lowest PPV was found for "other fractures of the lower leg" (0.05, 95% CI 0.0-0.24) and "other fracture of the fibula" (0.0, 95% CI 0.0-0.15). Aggregate agreement between all codes was fair (K = 0.26). Agreement between the correct code and the electronic medical record (EMR) assigned code was determined using kappa's statistic in the aggregate as well as percent agreement, sensitivity, specificity, and positive predictive value (PPV) between individual codes.ĥ9 of 97 cases (60.8%) demonstrated discordance between the existing EMR and surgeon-assigned codes. The code is valid during the fiscal year 2023 from Octothrough Septemfor the submission of HIPAA-covered transactions. JQuestion: I coded a case for one of our surgeons where he did an ORIF of a distal tibia/fibula fracture (Pilon) and syndesmosis repair and documented a separate diagnosis to support each procedure. Injury radiographs were reviewed by three authors to determine the correct code. 872A is a billable ICD-10 code used to specify a medical diagnosis of displaced pilon fracture of left tibia, initial encounter for closed fracture. ICD-10 codes do not accurately reflect ankle fracture injury patterns. S82.872K is a billable ICD-10 code used to specify a medical diagnosis of displaced pilon fracture of left tibia, subsequent encounter for closed fracture with nonunion. Retrospective cohort study PATIENTS: 97 adult patients with fractures about the ankle (rotational ankle fracture or distal tibia fracture) from 2016 to 2020, selected by stratified random sampling.Īssignment of an ICD-10 code representative of a rotational ankle fracture, pilon fracture, or unspecified fracture of the lower leg. ![]() ![]() To determine the accuracy of International Classification of Disease Version 10 (ICD-10) coding for ankle fracture injury patterns.
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