S82.44 Spiral fracture of shaft of fibula

Non-billable header with 6 child codes.

Applies from S82 Fracture of lower leg, including ankle

Includes

• fracture of malleolus

Excludes1 (never code together)

• traumatic amputation of lower leg (S88.-)

Excludes2 (not included here)

• fracture of foot, except ankle (S92.-)
• periprosthetic fracture around internal prosthetic ankle joint (M97.2)
• periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)

7th character note

• The appropriate 7th character is to be added to all codes from category S82

Notes

• A fracture not indicated as displaced or nondisplaced should be coded to displaced
• A fracture not indicated as open or closed should be coded to closed
• The open fracture designations are based on the Gustilo open fracture classification

7th character required

• A — initial encounter for closed fracture
• B — initial encounter for open fracture type I or II
• C — initial encounter for open fracture type IIIA, IIIB, or IIIC
• D — subsequent encounter for closed fracture with routine healing
• E — subsequent encounter for open fracture type I or II with routine healing
• F — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
• G — subsequent encounter for closed fracture with delayed healing
• H — subsequent encounter for open fracture type I or II with delayed healing
• J — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
• K — subsequent encounter for closed fracture with nonunion
• M — subsequent encounter for open fracture type I or II with nonunion
• N — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
• P — subsequent encounter for closed fracture with malunion
• Q — subsequent encounter for open fracture type I or II with malunion
• R — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
• S — sequela

Applies from S82.4 Fracture of shaft of fibula

Excludes2 (not included here)

• fracture of lateral malleolus alone (S82.6-)

Codes under S82.44

• S82.441 Displaced spiral fracture of shaft of right fibula
• S82.442 Displaced spiral fracture of shaft of left fibula
• S82.443 Displaced spiral fracture of shaft of unspecified fibula
• S82.444 Nondisplaced spiral fracture of shaft of right fibula
• S82.445 Nondisplaced spiral fracture of shaft of left fibula
• S82.446 Nondisplaced spiral fracture of shaft of unspecified fibula

Code annotations containing back-references to S82.44

Back-references to S82

• Type 2 Excludes: M23 Internal derangement of knee ("current injury - see injury of knee and lower leg (S80-S89)")
• Type 1 Excludes: M84.3 Stress fracture ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
• Type 1 Excludes: M84.4 Pathological fracture, not elsewhere classified ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
• Type 2 Excludes: S72 Fracture of femur ("fracture of lower leg and ankle (S82.-)")
• Type 1 Excludes: S81 Open wound of knee and lower leg ("open fracture of knee and lower leg (S82.-)")
• Type 2 Excludes: S92 Fracture of foot and toe, except ankle ("fracture of ankle (S82.-)")
• Type 2 Excludes: S92 Fracture of foot and toe, except ankle ("fracture of malleolus (S82.-)")

Diagnosis Index entries for S82.44

• Fracture, traumatic (abduction) (adduction) (separation) › fibula (shaft) (styloid) › spiral (displaced)
• Fracture, traumatic (abduction) (adduction) (separation) › fibula (shaft) (styloid) › spiral (displaced) › nondisplaced

Nearby codes

• S82.436N Nondisplaced oblique fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
• S82.436P Nondisplaced oblique fracture of shaft of unspecified fibula, subsequent encounter for closed fracture with malunion
• S82.436Q Nondisplaced oblique fracture of shaft of unspecified fibula, subsequent encounter for open fracture type I or II with malunion
• S82.436R Nondisplaced oblique fracture of shaft of unspecified fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
• S82.436S Nondisplaced oblique fracture of shaft of unspecified fibula, sequela
• S82.44 Spiral fracture of shaft of fibula (this code)
• S82.441 Displaced spiral fracture of shaft of right fibula
• S82.441A Displaced spiral fracture of shaft of right fibula, initial encounter for closed fracture
• S82.441B Displaced spiral fracture of shaft of right fibula, initial encounter for open fracture type I or II
• S82.441C Displaced spiral fracture of shaft of right fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC
• S82.441D Displaced spiral fracture of shaft of right fibula, subsequent encounter for closed fracture with routine healing