![]() ![]() of an ICD-10 code representative of a rotational ankle fracture, pilon. The repair is performed for different medical necessity than the ORIF of the fractures not all Pilon fractures will have syndesmotic instability. ICD-10-CM Code for Fracture of lower leg, including ankle S82 ICD-10 code. Perhaps you can do a corrected claim if it is not too late. You were correct! Repair of the syndesmosis is not inclusive to the Pilon fracture (27828). Thank you for the thoroughness of your question. Traumatic or pathological injury to the ankle joint in which the continuity of an ankle bone is broken. Symptoms include marked discomfort, swelling and difficulty moving the affected leg and foot. ![]() The patient is not Medicare and payor does not follow NCCI edits. A finding of damage to the ankle joint characterized by a break in the continuity of the ankle bone. Orthopaedic hardware symptoms can be common and some hardware may require removal. 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. My surgeon stated he was recently advised that the 2 codes were not reportable together and would not let me submit. Unpredictable results when removed solely for pain relief and even less so for function. 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). 1 Pilon injury accounts for about 5 to 7 of all tibial fractures, and the incidence rate is relatively low. 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. A pilon fracture is a severe ankle fracture involving the articular surface with proximal extension. ![]()
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