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ICD-10 Guide
ICD-10 CodesS82.222

S82.222

Billable

Displaced transverse fracture of shaft of left tibia

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

Code Description

ICD-10 S82.222 is a billable code used to indicate a diagnosis of displaced transverse fracture of shaft of left tibia.

Key Diagnostic Point:

A displaced transverse fracture of the shaft of the left tibia is characterized by a complete break across the bone that results in the two ends of the bone being misaligned. This type of fracture typically occurs due to high-energy trauma, such as a fall from a height, a motor vehicle accident, or a sports injury. The displacement of the fracture can lead to complications such as malunion or nonunion if not properly treated. Clinical evaluation often includes physical examination, imaging studies like X-rays or CT scans, and assessment of associated injuries, particularly to the knee and surrounding soft tissues. Treatment may involve immobilization with a cast or surgical intervention, such as intramedullary nailing or plating, depending on the severity and displacement of the fracture. Rehabilitation is crucial for restoring function and strength to the affected limb, especially in active individuals. The prognosis is generally good with appropriate management, although recovery time can vary based on the patient's age, overall health, and adherence to rehabilitation protocols.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and location
  • Differentiation between displaced and non-displaced fractures
  • Potential for associated injuries to the knee or fibula
  • Variability in treatment approaches (surgical vs. conservative)

Audit Risk Factors

  • Inadequate documentation of fracture characteristics
  • Failure to document associated injuries or complications
  • Incorrect coding of fracture laterality
  • Misclassification of fracture type (transverse vs. oblique)

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fracture repair surgeries, post-operative follow-ups, and management of complications.

Billing Considerations

Ensure that all surgical interventions and their indications are clearly documented to support coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans, progress notes, and functional assessments are necessary.

Common Clinical Scenarios

Rehabilitation following fracture repair, management of pain and mobility issues.

Billing Considerations

Documenting the patient's functional status and progress is critical for coding rehabilitation services.

Coding Guidelines

Inclusion Criteria

Use S82.222 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture type, location, and laterality are accurately documented
  • Include any associated conditions or complications in the coding process

Exclusion Criteria

Do NOT use S82.222 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 displaced fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and fixation method.

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 claims and enhancing the ability to track outcomes and complications associated with specific fracture types.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and enhancing the ability to track outcomes and complications associated with specific fracture types.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and enhancing the ability to track outcomes and complications associated with specific fracture types.

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 displaced and non-displaced fracture?

A displaced fracture means the bone ends are not aligned, while a non-displaced fracture means the bone remains in its normal position despite the break.