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ICD-10 Guide
ICD-10 CodesS82.223

S82.223

Billable

Displaced transverse fracture of shaft of unspecified tibia

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

Code Description

ICD-10 S82.223 is a billable code used to indicate a diagnosis of displaced transverse fracture of shaft of unspecified tibia.

Key Diagnostic Point:

A displaced transverse fracture of the shaft of the tibia is characterized by a break in the bone that occurs across its width, resulting in the two ends of the bone being misaligned. This type of fracture typically occurs due to high-energy trauma, such as falls, sports injuries, or vehicular accidents. The displacement indicates that the fracture fragments are not in their normal anatomical position, which can complicate healing and may require surgical intervention. Patients often present with significant pain, swelling, and inability to bear weight on the affected limb. Diagnosis is confirmed through imaging studies, primarily X-rays, which reveal the fracture pattern and any associated injuries. Treatment options may include conservative management with immobilization or surgical procedures such as intramedullary nailing or plating, depending on the fracture's severity and the patient's overall health. Rehabilitation is crucial for restoring function and strength to the affected limb post-treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture patterns and displacement severity
  • Need for precise imaging documentation
  • Potential for associated soft tissue injuries
  • Variations in treatment approaches based on patient demographics

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries or complications
  • Incorrect coding of laterality or unspecified status
  • Lack of clarity in 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 accidents requiring surgical intervention.

Billing Considerations

Ensure documentation specifies the type of fracture, treatment provided, and any complications.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture repair to regain mobility and strength.

Billing Considerations

Document the patient's functional limitations and goals for therapy.

Coding Guidelines

Inclusion Criteria

Use S82.223 When
  • Follow the ICD
  • CM guidelines for coding fractures, ensuring accurate documentation of the fracture type, displacement, and any associated injuries
  • Include details about the treatment plan and follow
  • up care

Exclusion Criteria

Do NOT use S82.223 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 required for a displaced tibial fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the fracture type and treatment rationale.

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 patient records and facilitating better treatment planning. S82.223 provides a clear designation for displaced transverse fractures, enhancing the ability to track treatment outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and facilitating better treatment planning. S82.223 provides a clear designation for displaced transverse fractures, enhancing the ability to track treatment outcomes and resource utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and facilitating better treatment planning. S82.223 provides a clear designation for displaced transverse fractures, enhancing the ability to track treatment outcomes and resource utilization.

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 has broken and moved out of alignment, while a non-displaced fracture remains aligned despite the break.