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Pilon fracture icd 9 code8/7/2023 ![]() Subscribe to Codify by AAPC and get the code details in a flash. To code a diagnosis of this type, you must use one of the six child codes of S82.87 that describes the diagnosis pilon fracture of. 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. ICD-10 code S82.87 for Pilon fracture of tibia is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes. 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. In many cases of pilon fractures, the other bone in your lower leg, your fibula, is broken as well. EMR codes were specific but not sensitive. Living With Overview What is a pilon fracture A pilon fracture is a relatively rare bone break that happens at the bottom of your tibia (the larger of the two bones in your lower leg, or your shinbone) near your ankle. 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. Injury radiographs were reviewed by three authors to determine the correct code. ![]() 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. of an ICD-10 code representative of a rotational ankle fracture, pilon. To determine the accuracy of International Classification of Disease Version 10 (ICD-10) coding for ankle fracture injury patterns. ICD-10-CM Code for Fracture of lower leg, including ankle S82 ICD-10 code. ![]()
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