ICD-10 Coding for Lisfranc Injury(M79.671U, M79.672U, S92.2)
Comprehensive guide on ICD-10 coding for Lisfranc injuries, including dislocation and ligament sprain, with documentation requirements and coding tips.
Complete code families applicable to Lisfranc Injury
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S93.324A | Subluxation/dislocation of tarsometatarsal joint, right foot, initial encounter | Use for confirmed dislocation/subluxation on weight-bearing X-ray/CT with midfoot instability. |
|
| S93.325A | Subluxation/dislocation of tarsometatarsal joint, left foot, initial encounter | Use for confirmed dislocation/subluxation on weight-bearing X-ray/CT with midfoot instability. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information
Essential facts and insights aboutLisfranc Injury
Alternative codes to consider when ruling out similar conditions
Use when imaging shows ligament injury without dislocation.
Documentation & Coding Risks
Avoid these common issues when documenting Lisfranc Injury.
Using S93.32- for ligament injuries without dislocation
Impact
Clinical: Misrepresents the injury severity., Regulatory: Leads to coding inaccuracies., Financial: Potential for claim rejections.
Mitigation
Verify imaging results before coding.
Reporting 28485 with 28615 for proximal metatarsal fractures
Impact
Reimbursement: Incorrect billing can lead to claim denials., Compliance: Violates coding guidelines for bundling., Data Quality: Leads to inaccurate clinical data representation.
Mitigation
CPT 28615 includes fractures at the TMT joint level.
Code specificity
Impact
Use of unspecified codes increases audit risk.
Mitigation
Always specify laterality and encounter type.