Page:ICD-10-CM (2010).djvu/1484

 821 Laceration with foreign body, right lower leg
 * S81.822 Laceration with foreign body, left lower leg
 * S81.829 Laceration with foreign body, unspecified lower leg
 * S81.83 Puncture wound without foreign body of lower leg
 * S81.831 Puncture wound without foreign body, right lower leg
 * S81.832 Puncture wound without foreign body, left lower leg
 * S81.839 Puncture wound without foreign body, unspecified lower leg
 * S81.84 Puncture wound with foreign body of lower leg
 * S81.841 Puncture wound with foreign body, right lower leg
 * S81.842 Puncture wound with foreign body, left lower leg
 * S81.849 Puncture wound with foreign body, unspecified lower leg
 * S81.85 Open bite of lower leg
 * Bite of lower leg NOS
 * Excludes1: superficial bite of lower leg (S80.86-, S80.87-)
 * S81.851 Open bite, right lower leg
 * S81.852 Open bite, left lower leg
 * S81.859 Open bite, unspecified lower leg

S82 Fracture of lower leg, including ankle

 * A fracture not indicated as displaced or nondisplaced should be coded to displaced
 * Includes: fracture of malleolus
 * Excludes1: traumatic amputation of lower leg (S88.-)
 * Excludes2: fracture of foot, except ankle (S92.-)
 * periprosthetic fracture of prosthetic implant of knee (T84.042, T84.043)
 * The appropriate 7th character is to be added to each code from category S82 
 * A fracture not designated as open or closed should be coded to closed
 * The open fracture designations are based on the Gustilo open fracture classification
 * A initial encounter for closed fracture
 * B initial encounter for open fracture type I or II
 * initial encounter for open fracture NOS
 * 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