8/2/2023 0 Comments Pilon fracture icd 9 code![]() 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. Any patient with an improperly coded tibial pilon or talus fracture was excluded by review of. There is substantial discordance between existing EMR and surgeon-assigned ICD-10 codes for ankle fractures. 9th edition (ICD-9) codes 824 (medial malleolus fracture). EMR codes were specific but not sensitive. I recommended CPT code 27828 (Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed of both tibia and fibula) and CPT code 27829 (Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed). 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. A pilon fracture is a type of break that occurs at the bottom of the tibia. C HAC S82.87 Pilon fracture of tibia Ex: For category S82.87 CC codes. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis nondisplaced pilon fracture of right tibia in more detail. To determine the accuracy of International Classification of Disease Version 10 (ICD-10) coding for ankle fracture injury patterns. The ICD10 code for the diagnosis Pathological fracture, right ankle. S82.855 Nondisplaced trimalleolar fracture of S83 Dislocation and sprain of joints.
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