Case Scenario:
A 22-year-old white male was involved in a motorcycle-truck accident and was admitted with open comminuted type IIA fractures of the shaft of the left tibia and fibula; a closed Colles; fracture of the distal radius on the right arm; and a laceration of the tongue, which was approximately 1 inch in length. He was the driver of the motorcycle, and he lost control and hit a parked truck in a parking lot. The remainder of his physical and history was essentially noncontributory. He was started on lactated Ringer's and D5% dextrose and given 1 gram of Kefzol. His tetanus immunization was up to date. The laboratory studies included an EKG that was read as abnormal with nonspecific myocardial changes in the inferolateral region, not felt to be significant or warranting further follow-up. His chest x-ray was grossly normal on admission. The cervical spine was normal. He was taken to the operating room, where he underwent an open reduction and internal fixation of the fractured tibia and fibula, casting of the right radial fracture, and suturing of the tongue laceration. The patient was treated for a full 10 day with intravenous Keflex. His wounds looked good. His post reduction x-ray revealed the good position of the right wrist and left leg fractures. He was discharged to follow-up in the office in 10 days. After that time, he will have an x-ray of the right wrist and left lower leg. He was given a prescription for Talwin 50 milligrams by mouth every four hours as needed for pain.
Discharge Diagnoses: Traumatic open comminuted type IIA fractures, left tibia shaft and fibula; Traumatic Colles closed, distal radius, right. Laceration, tongue, approximately 1 inch in length (initial encounter)
Procedures: Open reduction, internal fixation, left tibia and fibula. Suture repair, tongue laceration.
What are the ICD-10-CM and ICD-10-PCS codes?