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ICD-10 Guide
ICD-10 CodesS82.226

S82.226

Billable

Nondisplaced transverse fracture of shaft of unspecified tibia

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

Code Description

ICD-10 S82.226 is a billable code used to indicate a diagnosis of nondisplaced transverse fracture of shaft of unspecified tibia.

Key Diagnostic Point:

A nondisplaced transverse fracture of the shaft of the tibia is characterized by a break in the bone that does not result in the bone fragments being displaced from their normal alignment. This type of fracture typically occurs due to direct trauma or stress to the bone, often seen in sports injuries or falls. The tibia, or shinbone, is one of the key weight-bearing bones in the lower leg, and fractures in this area can significantly impact mobility and function. Patients may present with localized pain, swelling, and tenderness along the shaft of the tibia. Diagnosis is usually confirmed through imaging studies such as X-rays, which can reveal the fracture line and assess for any associated injuries. Treatment often involves conservative management, including immobilization with a cast or splint, and in some cases, surgical intervention may be necessary if there are complications or if the fracture does not heal properly. Rehabilitation and physical therapy are essential components of recovery to restore strength and function to the affected limb.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture presentation and associated injuries
  • Need for precise documentation of fracture type and location
  • Differentiation from other types of tibial fractures
  • Potential for co-existing ligament injuries

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to capture associated injuries or complications
  • Misclassification of fracture type
  • Inconsistent coding across different providers

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes if applicable, and follow-up assessments.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents requiring surgical intervention.

Billing Considerations

Ensure accurate documentation of fracture type and any surgical procedures performed.

Physical Therapy

Documentation Requirements

Initial evaluation notes, progress reports, and discharge summaries.

Common Clinical Scenarios

Rehabilitation following tibial fractures, focusing on restoring mobility and strength.

Billing Considerations

Document functional limitations and progress towards rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S82.226 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on treatment plans and follow
  • up care

Exclusion Criteria

Do NOT use S82.226 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of tibial shaft fracture

Clinical Scenario

Used when surgical intervention is required for a tibial fracture.

Documentation Requirements

Surgical notes detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and any hardware used.

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 treatment plans. S82.226 provides a clear distinction for nondisplaced fractures, which aids in appropriate management and billing.

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 treatment plans. S82.226 provides a clear distinction for nondisplaced fractures, which aids in appropriate management and billing.

Reimbursement & Billing Impact

billing.

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 nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments moving out of alignment.