Fracture of calcaneus, open

This code signifies a break in the calcaneus bone, commonly known as the heel bone, where there is an open wound communicating with the fracture site. This type of fracture often involves significant soft tissue damage and a higher risk of infection due to the exposure of the bone to the external environment.

Apply this code when documentation clearly indicates a calcaneal fracture with an associated open wound. This typically occurs in high-energy trauma such as falls from height or motor vehicle accidents. Supporting documentation should detail the location of the fracture, the presence of an open wound, and the mechanism of injury.

• Differentiate carefully between open and closed fractures; the presence of an open wound is critical for this code.
• Always review operative reports and emergency department notes for specific details on the nature of the wound and fracture.
• Consider additional codes for associated injuries, such as soft tissue damage, nerve involvement, or other foot fractures.