Post open reduction internal fixation icd 10

Timing of surgery is dictated by the status of the soft tissues. Ideally surgery is done before any true swelling or fracture blisters have developed. Delayed surgery done when blisters have resolved, skin wrinkles normally (average 14 days) has equivalent outcomes (Karges/Watson, JOT 1995;9:377). 7-10 Days: Wound check, functional Air-Stirrup ankle brace (Aircast). Partial weight bearing as tolerated. Encourage daily active and passive range-of-motion exercises of the ankle and subtalar joints without the brace. Pulmonary embolism = 0.34%, Wound infection 1.44%, Revision ORIF = 0.82%, BKA = 0.16%, Mortality =1.07% (SooHoo NF, JBJS 2009;91:1042). 6 Weeks: Assess xrays for union. Progress with activity / PT. Driving: may drive after 9 weeks for right leg. (Egol KA, JBJS 2003;85A:1185). Swelling is common after ankle sprain or fx. Rx=compression stocking (sigvaris, Jobst) 20-30mmHg. 3 Months: Begin sport specific rehab. Running, stair-climbing, and participation in sports are allowed only after a full range of motion of the ankle has been achieved. We discussed the risks of surgery including, but not limited to: incomplete relief of pain, incomplete return of function, nonunion, malnunion, painful hardware, hardware failure, compartment syndrome, CRPS, DVT/PE and the risks of anesthesia including heart attack, stroke and death. Lateral malleolar fixation provided with posterior antiglide plate +/- lag screws. (Lamontagne J, JOT 2002;16:498). Average time to full weightbearing = 7weeks, return to work = 8weeks after surgery with early weight bearing protocol. 100% good results; Olerud score (90 +/- 13 points). Posterior approach only needed for large posterior malleolar fragments-prone position. Incision between Achilles and peroneal tendons. Avoid sural nerve. Find interval between FHL and peroneal tendons. FHL is medial and protects posterior tibial artery/nerve. 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. synonyms: ORIF Ankle Fracture, open reduction internal fixation ankle, medial malleolus ORIF, lateral malleolus ORIF. Peroneal tendon pathology: associated with low plate placement with a prominent screw head in the distal hole. (Weber M, Foot Ankle Int. 2005 Apr;26(4):281). document osteochondral injuries which should be saught during ORIF. Supine position with bump under ipsilateral hip. All bony prominences well padded. 564 Other musculoskeletal system and connective tissue diagnoses with mcc. complications of internal prosthetic devices, implants and grafts ( T82 - T85 ) fitting and adjustment of prosthetic and other devices ( Z44 - Z46 ). by artificial or mechanical device or prosthesis of. 565 Other musculoskeletal system and connective tissue diagnoses with cc. Annotation Back-References In this context, annotation back-references refer to codes that contain: Applicable To annotations, or Code Also annotations, or Code First annotations, or Excludes1 annotations, or Excludes2 annotations, or Includes annotations, or Note annotations, or Use Additional annotations. ICD-10-CM Z96.698 is grouped within Diagnostic Related Group(s) (MS-DRG v 36.0): Persons with potential health hazards related to family and personal history and certain conditions influencing health status. Z96.698 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The following code(s) above Z96.698 contain annotation back-references. Z97.11 Presence of artificial right arm (complete) (partial). Persons with potential health hazards related to family and personal history and certain conditions influencing health status. Replacement by artificial or mechanical device or prosthesis of. Factors influencing health status and contact with health services. Factors influencing health status and contact with health services. The 2019 edition of ICD-10-CM Z96.698 became effective on October 1, 2018. Factors influencing health status and contact with health services. 566 Other musculoskeletal system and connective tissue diagnoses without cc/mcc. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM). Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury. (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury. Persons with potential health hazards related to family and personal history and certain conditions influencing health status. ( 67.0 ) Dilation of cervical canal, excludes Dilation and curettage. ( 57.5 ) Other excision or destruction of bladder tissue. ( 79.0 ) Closed reduction of fracture without internal fixation. ( 73.01 ) Induction of labor by artificial rupture of membranes. ( 88.97 ) Magnetic resonance imaging of other and unspecified sites. ( 86.8 ) Other repair and reconstruction of skin and subcutaneous tissue. ( 39.8 ) Operations on carotid body and other vascular bodies. ( 18.2 ) Excision or destruction of lesion of external ear. ( 56.0 ) Transurethral removal of obstruction from ureter and renal pelvis. ( 89.4 ) Cardiac stress tests, pacemaker and defibrillator checks. ( 69.9 ) Other operations on uterus, cervix, and supporting structures. ( 89.2 ) Anatomic and physiologic measurements and manual examinations -- genitourinary system. ( 75.5 ) Repair of current obstetric laceration of uterus. ( 50.2 ) Local excision or destruction of liver tissue or lesion. ( 34.28 ) Other diagnostic procedures on chest wall, pleura, and diaphragm. ( 84.54 ) Implantation of other internal limb lengthening device. ( 91.0 ) specimen from liver, biliary tract, and pancreas. ( 66.3 ) Other bilateral destruction or occlusion of fallopian tubes. ( 88.95 ) Magnetic resonance imaging of pelvis, prostate, and bladder. ( 86.1 ) Diagnostic procedures on skin and subcutaneous tissue. ( 90.9 ) specimen from lower gastrointestinal tract and of stool. ( 81.53 ) Revision of hip replacement, not otherwise specified. ( 66.2 ) Bilateral endoscopic destruction or occlusion of fallopian tubes.