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ICD-10 Guide
ICD-10 CodesS82.235

S82.235

Billable

Nondisplaced oblique fracture of shaft of left tibia

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

Code Description

ICD-10 S82.235 is a billable code used to indicate a diagnosis of nondisplaced oblique fracture of shaft of left tibia.

Key Diagnostic Point:

A nondisplaced oblique fracture of the shaft of the left tibia refers to a specific type of bone fracture where the bone has cracked at an angle but remains in its normal position without any displacement. This type of fracture is commonly caused by trauma such as falls, sports injuries, or accidents. Clinically, patients may present with localized pain, swelling, and tenderness along the tibia, as well as difficulty bearing weight on the affected leg. Diagnosis is typically confirmed through imaging studies, such as X-rays, which 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, physical therapy may be required to restore function. Monitoring for complications such as delayed healing or nonunion is essential, particularly in active individuals. Understanding the nuances of this fracture type is crucial for appropriate coding and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the fracture type (nondisplaced, oblique)
  • Location of the fracture (shaft of the left tibia)
  • Potential for associated injuries (ligament tears, other fractures)
  • Variability in treatment approaches (conservative vs. surgical)

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or complications
  • Misclassification of fracture as displaced when it is not
  • Inconsistent coding across different providers

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

Fracture management post-trauma, surgical intervention for complex cases.

Billing Considerations

Ensure accurate imaging reports are included to support the diagnosis.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Rehabilitation following fracture immobilization.

Billing Considerations

Document functional limitations and goals for recovery.

Coding Guidelines

Inclusion Criteria

Use S82.235 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code reflects the specific fracture type and location
  • Include any relevant external cause codes if applicable
  • Ensure that documentation supports the diagnosis and treatment plan

Exclusion Criteria

Do NOT use S82.235 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 complex fractures.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and facilitating better treatment planning. S82.235 provides a clear distinction for nondisplaced oblique fractures, which aids in clinical decision-making.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and facilitating better treatment planning. S82.235 provides a clear distinction for nondisplaced oblique fractures, which aids in clinical decision-making.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and facilitating better treatment planning. S82.235 provides a clear distinction for nondisplaced oblique fractures, which aids in clinical decision-making.

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 nondisplaced fracture?

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