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Apr 7th, 2016 - BONE 16 

Correct billing of dx code

Good morning
Can you please tell me what is the correct ICD-10 code for billing the tibia and the fibula right lower extremity open

Thanks in advance

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Apr 7th, 2016 - codinqueen 57 

re: Correct billing of dx code

If u r trying to code a fx of tib and fib, I need to know exactly what is fxd; like is it the shaft or is it distal portion of the tibia and fibula? (and are the fxs displaced or not.) Or is it the upper portion of both bones, or one or the other, like tib plateau or upper portion of fibula, or maybe both are fxd in the distal portion like in the ankle. The fxs can also be in two different areas of the fibula & the tibia, depending on the mechanism that caused the fx. Since the fibula and the tibia are BOTH located in the Rt lower extremity, we don't have enough info to give an accurate code.
I remember this question from a few days ago, but never saw an answer as to exactly what parts of these bones is fractured. I would love to help you code this, but need more info please. Can't see your response if you answered the other day, & does not show up in the forum discussion questions now. I will try to check back after lunch for your answer, but might not get a chance this afternoon, as I still have to make my productivity goals too. ICD-10 is very specific and we need detailed descriptions of exactly what the problem is that you are trying to code. The xray rept or the treating MD should be able to tell you exactly where the fxs are located on these two bones.

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Apr 7th, 2016 - LBAROGIANIS 250 

re: Correct billing of dx code

Can you be more specific?


M84 Disorder of continuity of bone
M84.3 Stress fracture
M84.4 Pathological fracture, not elsewhere classified
Q68 Other congenital musculoskeletal deformities
M86 Osteomyelitis
M21 Other acquired deformities of limbs
M85 Other disorders of bone density and structure
M89 Other disorders of bone

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Apr 7th, 2016 - BONE 16 

re: Correct billing of dx code

this was distal and lower extremity ankle

thank you

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Apr 7th, 2016 - codinqueen 57 

re: Correct billing of dx code

Try S82891B if initial encounter since you told us a few days ago it was an open fx of tib/fib at ankle, which you neglected to state it was a fx in today's question. If it is a healing fx after treatment already given and is a subsequent visit it is S82891E. The code will change if it is a nonunion or malunion. Also the code will change if it is I, II IIIA, IIIB, IIIC type fx.
Hope this helps you, Mr/Ms Bone.

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