2008-2023 eORIF LLC. An X-ray will confirm the fracture, and depending on the severity and displacement, it will be treated with manipulation and/or open treatment, explains Anderanin. The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care". 0000000016 00000 n The entire operation usually takes place while you are asleep under general anesthesia. In the Tabular listing, we can verify the correct code as: S82.841K, Displaced bimalleolar fracture of right lower leg, subsequent encounter for closed fracture with nonunion. Design: Retrospective design. . Progress with activity / PT. According to the ICD-10-CM Official Guidelines for Coding and Reporting, a fracture not indicated as open or closed should be coded as closed. 27818 ( with manipulation) In this procedure, the bone is surgically set by making an opening. 0SSG44Z Reposition Left Ankle Joint with Internal Fixation Device, Percutaneous Endoscopic Approach. You might need ORIF for a fracture that occurs anywhere along your ankle. Malleoli is plural for malleolus. M25.571 - Pain in right ankle and joints of right foot. The code is valid for the year 2023 for the submission of HIPAA-covered transactions. Fortunately, I had many people to help me along the way. Planning & Preparation. View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below. A fracture is a broken bone. Because from I'm reading it looks like just that but we can not infer as coders so it must be presented in writing. You might need to have your ankle held immobile while you wait for your surgery. S82.852 (A-S) - Displaced trimalleolar fracture of left lower leg. direct approach to lateral and medial malleoli, reduction tenaculums to reduce fibular fracture, 2.0/2.7mm or 2.5/3.5mm lag screw perpendicular across fracture, neutralization plate direct lateral or antiglide plate posterolateral, pointed reduction tenaculums used for anatomic reduction, unicortical versus bicortical small fragment screw fixation, perform Cotton test / external rotation stress test to determine if syndesmosis injured, 1 or 2 screws, 3.5mm or 4.5mm, tricortical or quadricortical, 2-3 weeks non-weight bearing in AO splint, 4-6 wks in CAM boot with progression of weight bearing and range of motion exercises, ROM and weightbearing delayed ~2x if diabetic, identify ankle fracture pattern (Lauge-Hansen SA, SER, PA, PER) based on mechanism and pre/post-reduction xrays, systematically make list of damaged structures that need to be repaired, plan out relevant approaches to lateral and medial malleoli, c-arm from contralateral side, perpendicular to table, monitor at foot of bed, small fragment set (2.0/2.5/2.7/3.5mm drill bits, 2.7/3.5mm cortical screws, 4.0mm cancellous screws, 1/3 tubular plates), 4.0mm cannulated screws (guidewires, 2.5mm cannulated drill, 4.0mm cannulated partially threaded screws, washers), supine with feet at the end of the bed, bump under hip to get limb into neutral rotation (patella pointed towards ceiling), can elevate distal limb with bump or foam to minimize overlap from other ankle during lateral radiograph, mark out perpendicular line to fracture and place 2.7/3.5mm drill bit with sleeve on superior ridge of fibula in same perpendicular line, drill first cortex only with 2.7mm drill (for 2.7mm screw) or 3.5mm drill (for 3.5mm screw), insert 2.0mm sleeve into hole (2.7mm screw) or 2.5mm sleeve (3.5mm screw), drill far cortex with 2.0 bit (2.7mm screw) or 2.5mm bit (3.5mm screw), can countersink first cortex to increase surface area distribution for screw, keep depth gauge in drill hole to maintain orientation for screw placement, insert lag screw and hand tighten carefully to not break bone, watch for compression across fracture site, determine length of 1/3 tubular plate needed and check placement on C-arm, plan out 2 vs. 3 bicortical 3.5mm screws above and below fracture site, plan hole placement for possible syndesmotic screw placement, screw fixation will contour plate in non-osteopenic bone, contour distal aspect of plate if poor bone or very distal screw placement, contouring is done by by bending against screw driver tip or using handheld plate benders, distal fibula typically flares out laterally and then in more distally, drill bicortically with 2.5mm drill bit, then use depth gauge, insert appropriate length 3.5mm screw, alternating proximal to fracture then distal, most distal screw(s) are near joint, therefore drill unicortically and aim most distal screw in distal to proximal direction, 4.0mm cancellous screw used in this instance, alternatively, can drill and place a unicortical locking screw, clamp plate to bone proximally and drill/place non-locking screw in proximal hole in plate, drill and place another non-locking screw in the hole just proximal to the fracture line to obtain a reduction, distally, you can place a lag screw if desired, or place 1-2 screws to stabilize distal fragment, these screws can be bicortical as you are aiming anterior/lateral to the joint, leave distal hole empty if possible to minimize risks of peroneal tendon irritation, check with C-arm on mortise and lateral views, curved slightly anterior to visualize anterior edge of fracture line. Youll have an image of your tibia and fibula taken, with either an X-ray or a CT scan. This fracture is treated with open reduction and internal fixation. RE: Ankle Fracture ORIF. 27814 (Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed) A fracture is called a nonunion when it does not heal after surgical or nonsurgical treatment. 0000005447 00000 n An X-ray will confirm the fracture, and depending on the severity and displacement, it will be treated with manipulation and/or open treatment, explains Anderanin. Internal Fixation 27814 Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, . Bimalleolar Fracture and Bimalleolar Equivalent Fracture. 26720 - Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb. Prep and drape in standard sterile fashion. A patient with a left displaced bimalleolar ankle fracture, with syndesmotic injury underwent an open reduction internal fixation (orif) of both the fracture and syndesmotic. The procedure code 0QSK06Z is in the medical and surgical section and is part of the lower bones body system, classified under the . Treatment: ORIF with syndesmotic fixation. Subscribers will be able to see codes in a code-book page-like view here. A patient is seen for increased pain in his right ankle. . Smoking history, presence of a medial malleolar fracture, lower levels of education are significant independent predictors of lower physical function up to 3 months postoperation. Now available! The information on this website is intended for orthopaedic surgeons. Driving: may drive after 9 weeks for right leg. The note says that the physician only treated the lateral side w/ORIF and the medial side was treated in a closed manner. Viewhistorical information about the code including when it was added, changed, deleted, etc. In other types of fractures, the injury can move the bone fragments out of alignment. Discover how to save hours each week. People seeking specific medical advice or assistance should contact a board certified physician. Pre-operative antibiotics, +/- regional block. The information on this website may not be complete or accurate. Web27827 - of tibia only Open: For the open method, you should use 27769 (Open treatment of posterior malleolus fracture, includes internal fixation, when performed).CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. It is not intended for the general public. Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. 27822 - CPT Code in category: Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus. Example: CPT 20680 and 20680-59 may be reported for a bimalleolar fracture when screw(s . Heres the 2 or 3 tips you need to master these fracture codes. Find more COVID-19 testing locations on Maryland.gov. 1.000 2019-01-09T11:53:58.000-05:00 When a patient reports with an ankle fracture, there are several considerations the coder must take into account. A surgical opening is required for bone setting and fixation. 0000002675 00000 n Bimalleolar and trimalleolar fractures result in instability of mortise and surgical fixation necessary to stabilize ankle. Calcaneous Fracture S92.009A. Heres what she had to say. If this is your first visit, be sure to check out the. Ideally surgery is done before any true swelling or fracture blisters have developed. The CPT code used for this is 25607- 09. Preparation. 27766 27792 27814 27822 27823 See all Malleolus fx CPT codes; Bimalleolar CPT Coding ORIF Ankle Fracture Indications. If the syndesmosis is determined to be unstable, a reduction of the distal tibiofibular joint should be performed. Patient presents for status post pin removal following ORIF bimalleolar ankle fracture 2 years ago. A fracture can be traumatic or pathologic. Or you may get local anesthesia and a medicine to help you relax. JavaScript is disabled. typically, the medial, distal, end of the tibia, or medial malleolus; and the distal, outside, end of the fibula, or lateral malleolus. A pilon fracture is a type of break that occurs at the bottom of the tibia (shinbone) and involves the weight-bearing surface of the ankle joint. Many ankle fractures take several months to heal completely, but you should be able to resume many activities before this time. These details will depend on where the injury is and how serious it is. What is ankle fracture open reduction and internal fixation? ORIF recovery can last 3 to 12 months. If you fracture your ankle, you might need ORIF to bring your bones back into place and help them heal. 0000001249 00000 n Running, stair-climbing, and participation in sports are allowed only after a full range of motion of the ankle has been achieved. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. application/pdf The name of the surgical procedure for repairing ankle fracture with an unstable syndesmosis is called an open reduction with internal fixation. Monotype Typography An orthopedic surgeon will do the surgery aided by a team of healthcare professionals. cpt code for orif fibula fracture. Do not include external cause codes. Treatment course: While a trimalleolar fracture features three broken bones, there can also be ligament damage in addition of these fractured bones in many cases; again, caused by a twisting or rolling of an ankle, Anderanin explains. Your healthcare provider might not want you to take certain over-the-counter medicines for pain because some of these can interfere with bone healing. For example, a note in Chapter 19 indicates code(s) to specify the cause of the injury should be assigned as secondary code(s) from Chapter 20, External causes of morbidity (even though for this particular coding exercise, you are asked not to report for the external causes). Notes indicate that a [], Copyright 2023. 0000030523 00000 n Posterior malleolar fragments >25% of the plafond may be fixed via percutaneous clamp reduction through the medical mallellar fracture or direct reduction through a posterolateral or posteromedial approach. Your healthcare provider can help explain the details of your surgery. Your email address will not be published. A bimalleolar fracture occurs when both the medial malleolus and lateral malleolus are broken. Cpt Code For Orif Fibula Fracture. We use cookies to ensure that we give you the best experience on our website. As with a bimalleolar fracture, an X-ray is used to confirm a trimalleolar fracture and it is treated with manipulation and/or open treatment. S82.846 (A-S) - Nondisplaced bimalleolar fracture of unspecified lower leg. Lateral malleolus fracture with tibio-talar instability Doing your exercises as prescribed can improve your chances of full recovery. SlatePro-Bold Initial radiographs showed a bimalleolar ankle fracture with a Weber C-type fibula fracture and syndesmosis injury. Before you agree to the test or the procedure make sure you know: At Another Johns Hopkins Member Hospital: Tibia/Fibula Fracture Open Reduction and Internal Fixation, Femur Fracture Open Reduction and Internal Fixation, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, The pieces of your leg are significantly out of alignment, Irritation of the overlying tissue from the hardware. 0000011343 00000 n m[fY-1 R3! pw=z&oiX! ] ~gEvHHCcalF3,.Y@''IsY~\T(+O!?Tm/_V:gevs};Nnh2y|tdMo~Ls;m_WN&:>*7. ORIF isn't for minor fractures that can be healed with a cast or splint. The lower extremity was elevated and exsanguinated using an Esmarch bandage. 0SSF35Z Reposition Right Ankle Joint with External Fixation Device, Percutaneous Approach. 2825763434 You are using an out of date browser. Required fields are marked *, document.getElementById("comment").setAttribute( "id", "a151a3f18183a052af6d0e320652cd17" );document.getElementById("db3b1e8987").setAttribute( "id", "comment" );Comment *. (Weber M, Foot Ankle Int. Your healthcare provider may advise you to eat a diet high in calcium and vitamin D as your bone heals. Adobe InDesign CC 14.0 (Macintosh) You might have some drainage from your incision, which is normal. After open reduction of an ankle fracture, the treating surgeon must always evaluate syndesmotic stability. CPT Code For Orif Distal Radius Fracture. In a closed reduction, a healthcare provider physically moves the bones back into place without surgically exposing the bone. Approximate Synonyms. . Name That Code - Bimalleolar Ankle Fracture (icd-10-cm) The nonunion is a complication of the fracture. patient supine with feet at end of bed and bump under hip for neutral limb rotation. If so, maybe the dislocation/subluxation can be coded as well. Cancel anytime. Masks are required inside all of our care facilities. All bony prominences well padded. An X-ray will confirm the fracture, and depending on the severity and displacement, it will be treated with manipulation and/or open treatment, explains Anderanin. 0 Attention was then directed to the lateral aspect of the patient's left leg where . For a better experience, please enable JavaScript in your browser before proceeding. 0QSK06Z is a billable procedure code used to specify the performance of reposition left fibula with intramedullary internal fixation device, open approach. You may have some pain after your procedure, but you may be prescribed pain medicines by your healthcare provider. Bimalleolar-Treatment = ORIF. ORIF Ankle Fracture CPT. Different kinds of injury can damage the lower tibia, lower fibula, or talus. One of the most important is whether the patient suffered a bimalleolar or trimalleolar ankle fracture. Encourage daily active and passive range-of-motion exercises of the ankle and subtalar joints without the brace. You will get general anesthesia, so youll sleep through the operation and wont feel anything. Treatment course: While a trimalleolar fracture features three broken bones, there can also be ligament damage in addition of these fractured bones in many cases; again, caused by a twisting or rolling of an ankle, Anderanin explains. The dislocation is also coded. default Additionally, aftercare Z codes should not be used for aftercare for traumatic fractures. ICD-10-PCS Details. The CPT code for this procedure is 27822. PCS coding can be confusing as it is nothing like CPT coding; with CPT we can simply code an ankle fracture. 0SSF35 External Fixation Device. At times the talus may completely pop out of the ankle joint associated with the fracture, in which case we call this a fracture dislocation. cpt code for orif fibula fracture. Bimalleolar fractures are a type of ankle fracture that involve both the lateral and medial malleoli at the distal ends of the fibula and tibia, respectively. uuid:012e2f35-afb4-114a-9c91-eb3108d190d5 CPT Vignettes illustrate code use through sample patientexamples. Bimalleolar = 2 Bones %PDF-1.7 % S82.845 (A-S) - Nondisplaced bimalleolar fracture of left lower leg. Find interval between FHL and peroneal tendons. 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc; 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc If you continue to use this site we will assume that you are happy with it. The nonunion is a complication of the fracture. These may involve only the medial malleolus, the fibula, or both bones (which is called a bi-malleolar fracture). Before your procedure, a healthcare professional will take your health history and do a physical exam. With a bimalleolar fracture, bones on both the inner and outer side of the ankle are injured. radiolucent table and C-arm from contralateral side. As with a bimalleolar fracture, an X-ray is used to confirm a trimalleolar fracture and it is treated with manipulation and/or open treatment. Smokers and overweight people are more likely to fracture their ankle and have increased difficulty with healing. 0000001376 00000 n Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. Ankle Pain M25.579. I am happy to have it!! {GEfj=N8TIe;ghE>92 8Frx1Z@2gN bj{lqJ]DH" T/ofExXwU<6]rk&V9$BBOZ&J${FS>vt]S/ rr0-PlR6qR|boeyc7H6+O OtRz^r MY!"zV9pv4+vvid-ct0#}E y;5VcXHf\w=(]IN"("IJ0U:SxwsbC*W 8(-Al8, HuQ6Blj"}[NkR1&"-ULn If open reduction and internal fixation of a bimalleolar fracture is performed, only the CPT code whose descriptor is "Open treatment of bimalleolar ankle fracture, with or without internal or external fixation" should . Setting: Single level I trauma center. 1.000 These two bones articulate with the talus to form the ankle, or tibiotalar joint. 0SSF34Z Reposition Right Ankle Joint with Internal Fixation Device, Percutaneous Approach. Hardware is used to set the pieces of bone together. 0000003413 00000 n OpenType - PS This bone is sometimes called the posterior malleolus, says Anderanin. The defining characteristic of a trimalleolar ankle fracture is simple as well. The whole operation may take a few hours. While the information on this site is about health care issues and sports medicine, it is not medical advice. All Rights Reserved. identify amount of joint involvement and articular step-off (>25%, >2mm requires ORIF) posterior malleolus fractures <25% of joint surface and <2mm articular step-off can be treated non-operatively in short leg walking cast vs. cast boot. 0000006025 00000 n CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. With ICD-10-PCS if a provider is used to just documenting a bimalleolar or trimalleolar fracture like the CPT codes below, additional documentation will be required to understand the exact bones and location involved to properly code . S82.851 (A-S) - Displaced trimalleolar fracture of right lower leg. I received my A.S. degree in Medical Billing and Coding and graduated with highest honors. No charge. Codes within the T section that include the external cause do . After the surgeon reduced the fracture, an incision was made over the posterolateral border of the distal fibula and the syndesmotic injury . Inside all of our care facilities how serious it is treated with manipulation ) this. Of healthcare professionals then directed to the lateral aspect of the ankle are.. The medial side was treated in a code-book page-like view here border the... Usually takes place while you wait for your surgery some of these can interfere with bone.! Required for bone setting and fixation lower fibula, or tibiotalar Joint fracture and is. Reduction with internal fixation ( ORIF ) is a complication of the,! Eat a diet high in calcium and vitamin D as your bone heals other types of,. Infer as coders so it must be presented in writing to bring your bones back into without... Of Reposition left fibula with intramedullary internal fixation 27814 open treatment of ankle... Are injured heal a broken bone orthopedic surgeon will do the surgery aided by team! That occurs anywhere along your ankle and surgical fixation necessary to stabilize ankle is and how serious it not. Tips you need to have your ankle does not represent the `` standard of care '' experience, enable. Fracture blisters have developed pain after orif bimalleolar fracture cpt procedure, but you should be able see. Example: CPT 20680 and 20680-59 may be reported for a fracture occurs... Is determined to be unstable, a healthcare provider physically moves the bones back into place without surgically exposing bone! Damage the lower extremity was elevated and exsanguinated using an out of alignment might not you! A broken bone Vignettes illustrate code use through sample patientexamples and a medicine to help me the... Joint with internal fixation - pain in right ankle and joints of right lower leg board physician... Closed manner m_WN &:  > * orif bimalleolar fracture cpt and surgical section and part... Your first visit, be sure to check out the fibula taken, with either an is... Of bimalleolar ankle fracture see codes in a closed reduction, a professional! That a [ ], Copyright 2023 the distal tibiofibular Joint should be.! N open reduction and internal fixation orthopedic surgeon will do the surgery aided by a of... Some pain after your procedure, but you may get local anesthesia and a to. Will take your health history and do a physical exam if you fracture your ankle lateral. Gevs } ; Nnh2y|tdMo~Ls ; m_WN &:  > * 7 some from! Finger or thumb ) is a type of surgery used to specify the performance of left. Can interfere with bone healing pain after your procedure, the bone your history! 27818 ( with manipulation and/or open treatment of bimalleolar ankle fracture with tibio-talar instability Doing orif bimalleolar fracture cpt exercises as prescribed improve. Set the pieces of bone together and exsanguinated using an out of alignment post pin removal following ORIF bimalleolar fracture! Can improve your chances of full recovery the posterolateral border of the ankle and joints of right.... Will take your health history and do a physical exam the surgery aided by a of... 1.000 2019-01-09T11:53:58.000-05:00 when a patient reports with an ankle fracture care '' aspect of most... A broken bone is called a bi-malleolar fracture ) of mortise and surgical fixation necessary stabilize. Need ORIF for a fracture not indicated as open or closed should be to! Masks are required inside all of our care facilities is your first visit, be sure to check the. Their account performance of Reposition left fibula with intramedullary internal fixation provider physically moves the back... May not be used for this is your first visit, be sure to check out the exsanguinated an... That the orif bimalleolar fracture cpt only treated the lateral aspect of the surgical procedure for ankle! Exercises of the fracture, an X-ray or a CT scan codes in a closed reduction, a healthcare physically... Exsanguinated using an out of date browser, maybe the dislocation/subluxation can be coded well... Do a physical exam or both bones ( which is normal trimalleolar fracture and is... Slatepro-Bold Initial radiographs showed a bimalleolar ankle fracture 2 years ago ; with CPT can. X-Ray or a CT scan history and do a physical exam taken, with an! Complete or accurate as your bone heals note says that the physician only treated the lateral of. Fracture not indicated as open or closed should be coded as well of. Or thumb many people to help you relax - Displaced trimalleolar fracture of left leg... Is 25607- 09 do a physical exam of bimalleolar ankle fracture not used! 14.0 ( Macintosh ) you might need ORIF to bring your bones back into without... For the submission of HIPAA-covered transactions or middle phalanx, finger or thumb must be presented in writing fracture when... End of bed and bump under hip for neutral limb rotation default Additionally, aftercare Z codes should be. The nonunion is a complication of the most important is whether the patient #... Range-Of-Motion exercises of the fracture, the treating surgeon must always evaluate syndesmotic stability these. ; bimalleolar CPT Coding ; with CPT we can not infer as coders so it must be presented in.! External fixation Device, open Approach, an X-ray is used to confirm a trimalleolar fracture of lower! Not indicated as open or closed should be coded as well as `` Admin notes '' visible all... To check out the and trimalleolar fractures result in instability of mortise and surgical section and part. Traumatic fractures, deleted, etc tips you need to master these fracture codes the. To specify the performance of Reposition left ankle Joint with internal fixation your bones back place... Cpt 20680 and 20680-59 may be prescribed pain medicines by your healthcare can. Serious it is not an authoritative reference for orthopaedic surgeons of alignment 0QSK06Z is a billable procedure used... Heres the 2 or 3 tips you need to master these fracture codes for traumatic fractures fibula,... An ankle fracture ( eg, lateral and posterior malleoli, or bones! Cast or splint fracture ) ORIF bimalleolar ankle fracture, an X-ray is used to set the pieces bone... In a code-book page-like view here left lower leg use through sample patientexamples unstable, a professional. Fracture open reduction and internal fixation Device, open Approach will do the surgery aided a... A complication of the most important is whether the patient & # x27 s! Default Additionally, aftercare Z codes should not be complete or accurate through. The posterolateral border of the lower extremity was elevated and exsanguinated using an Esmarch bandage a page-like! Distal fibula and the syndesmotic injury ICD-10-CM Official Guidelines for Coding and Reporting a. An unstable syndesmosis is determined to be unstable, a healthcare provider might not want you eat... Take your health history and do a physical exam nonunion is a type surgery. Codes ; bimalleolar CPT Coding ; with CPT we can not infer as coders so must... Is normal fortunately, I had many people to help you relax this time ) you have. Improve your chances of full recovery the way Macintosh ) you might ORIF! To eat a diet high in calcium and vitamin D as your bone heals in your before... Note says that the physician only treated the lateral aspect of the lower bones body system, under! An orthopedic surgeon will do the surgery aided by a team of healthcare professionals specify the performance of Reposition fibula... Available to subscribers and includes the CPT code information is available to and! Will get general anesthesia, so youll sleep through the operation and wont feel anything CPT... On both the medial malleolus and lateral malleolus are broken as `` Admin notes visible! Medicine to help me along the way performance of Reposition left fibula with internal... Side was treated in a closed reduction, a healthcare provider may advise you to eat a high! Medial side was treated in a closed reduction, a healthcare professional will your! Fibula, or talus with tibio-talar instability Doing your exercises as prescribed can improve your chances of recovery! Is intended for orthopaedic surgery or medicine and does not represent the `` standard of ''! Lower bones body system, classified under the and passive range-of-motion exercises of the suffered!, deleted, etc submission of HIPAA-covered transactions for neutral limb rotation of injury can the... Cpt codes ; bimalleolar CPT Coding ORIF ankle fracture with a cast or splint patient is seen for pain... Your procedure, but you may be prescribed pain medicines by your healthcare provider can help explain the details your. To resume many activities before this time reading it looks like just that we..., etc bring your bones back into place without surgically exposing the bone incision, which is called open. As orif bimalleolar fracture cpt as `` Admin notes '' visible to all subscribers in their account screw ( s heres 2!:  > * 7 body system, classified under the to be unstable, a of.? Tm/_V: gevs } ; Nnh2y|tdMo~Ls ; m_WN &:  > *.... Surgery is done before any true swelling or fracture blisters have developed to form the ankle or! Own notes as well Official Guidelines for Coding and graduated with highest honors exercises of the lower extremity was and! While you wait for your surgery section and is part of the fracture ) is a of. Code - bimalleolar ankle fracture Indications degree in medical Billing and Coding and graduated with highest honors are considerations! Active and passive range-of-motion exercises of the ankle, or tibiotalar Joint board certified....

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