S82.845B
ICD-10-CMNondisplaced bimalleolar fracture of left lower leg, initial encounter for open fracture type I or II
This code describes a fracture involving both the medial and lateral malleoli of the left ankle, where the bone fragments remain in their normal anatomical alignment. The fracture is an open fracture, meaning the skin and soft tissues have been compromised, but the wound is relatively clean and small (Type I or II according to the Gustilo-Anderson classification).
Apply this code for initial encounters when documenting a patient presenting with a newly diagnosed, nondisplaced bimalleolar fracture of the left lower leg that is classified as an open fracture Type I or II. This code is appropriate for the initial treatment phase, including evaluation, reduction, and primary surgical repair if performed.
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