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ICD-10 Guide
ICD-10 CodesS82.22

S82.22

Billable

Transverse fracture of shaft of tibia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/26/2025

Code Description

ICD-10 S82.22 is a billable code used to indicate a diagnosis of transverse fracture of shaft of tibia.

Key Diagnostic Point:

A transverse fracture of the shaft of the tibia is characterized by a break that occurs perpendicular to the long axis of the bone. This type of fracture typically results from direct trauma or a high-energy impact, such as a fall or a motor vehicle accident. Clinically, patients may present with significant pain, swelling, and deformity in the affected leg. The fracture may be associated with soft tissue injuries, including ligament tears or damage to surrounding muscles. Diagnosis is confirmed through radiographic imaging, which reveals the fracture line and any potential displacement. Treatment often involves immobilization with a cast or splint, and in some cases, surgical intervention may be necessary to realign the bone fragments and stabilize the fracture using plates, screws, or intramedullary nails. Rehabilitation is crucial for restoring function and strength to the affected limb, particularly in athletes or active individuals. Complications can include nonunion, malunion, or infection, particularly in open fractures where the skin is breached.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of tibial fractures (e.g., transverse vs. oblique)
  • Identifying associated soft tissue injuries or complications
  • Understanding the need for surgical vs. non-surgical management
  • Documenting the exact location and characteristics of the fracture

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or complications
  • Incorrect coding of the fracture as open or closed
  • Lack of clarity on treatment plans and follow-up care

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

Ensure that all associated injuries are documented, including ligamentous injuries or compartment syndrome.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture repair or those with complications.

Billing Considerations

Document the impact of the fracture on daily activities and the rehabilitation plan.

Coding Guidelines

Inclusion Criteria

Use S82.22 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on whether the fracture is open or closed, and document any surgical interventions performed

Exclusion Criteria

Do NOT use S82.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of tibial shaft fracture

Clinical Scenario

Used when surgical intervention is performed for a transverse fracture.

Documentation Requirements

Operative report detailing the procedure, including fixation methods.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding of the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.22 provides a clear distinction for transverse fractures, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.22 provides a clear distinction for transverse fractures, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. S82.22 provides a clear distinction for transverse fractures, which aids in clinical management and research.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a transverse fracture and an oblique fracture?

A transverse fracture occurs perpendicular to the long axis of the bone, while an oblique fracture occurs at an angle. This distinction is important for treatment and coding purposes.