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ICD-10 Guide
ICD-10 CodesS82.24

S82.24

Billable

Spiral fracture of shaft of tibia

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

Code Description

ICD-10 S82.24 is a billable code used to indicate a diagnosis of spiral fracture of shaft of tibia.

Key Diagnostic Point:

A spiral fracture of the shaft of the tibia is a type of bone fracture characterized by a helical break in the tibial shaft, often resulting from a twisting or rotational force applied to the leg. This injury is commonly seen in sports-related incidents, falls, or accidents where the leg is subjected to sudden torque. Clinically, patients may present with significant pain, swelling, and deformity in the affected leg, along with difficulty bearing weight. Diagnosis is typically confirmed through radiographic imaging, which reveals the characteristic spiral pattern of the fracture. 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 internal fixation devices. Rehabilitation is crucial for restoring function and strength, particularly in athletes or active individuals. Complications can include nonunion, malunion, or infection, particularly if surgical intervention is required. Understanding the mechanism of injury and the specific characteristics of the fracture is essential for appropriate management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and their implications for treatment.
  • Differentiation from other tibial fractures (e.g., transverse, oblique).
  • Potential for associated soft tissue injuries or complications.
  • Documentation must specify the nature of the fracture and any surgical interventions.

Audit Risk Factors

  • Inadequate documentation of the fracture type.
  • Failure to note associated injuries or complications.
  • Misclassification of fracture type leading to incorrect coding.
  • Lack of clarity in the mechanism of injury.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or motor vehicle accidents.

Billing Considerations

Documentation must clearly describe the fracture pattern and any surgical interventions performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of tibial fractures.

Billing Considerations

Focus on functional outcomes and the impact of the fracture on daily activities.

Coding Guidelines

Inclusion Criteria

Use S82.24 When
  • According to ICD
  • 10 coding guidelines, S82
  • 24 should be used when the documentation specifies a spiral fracture of the tibial shaft
  • It is important to include details about the mechanism of injury and any associated injuries

Exclusion Criteria

Do NOT use S82.24 When
  • Exclusion criteria include fractures that are not spiral in nature or those that involve the distal or proximal ends of the tibia

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 spiral fracture of the tibia.

Documentation Requirements

Operative report detailing the procedure and any fixation devices used.

Specialty Considerations

Orthopedic surgeons must document the fracture type and surgical approach.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to differentiate between types of fractures such as spiral, oblique, and transverse. This specificity aids in better tracking of injury patterns and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to differentiate between types of fractures such as spiral, oblique, and transverse. This specificity aids in better tracking of injury patterns and outcomes.

Reimbursement & Billing Impact

reimbursement and to avoid denials.

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 spiral fracture and other types of fractures?

A spiral fracture is characterized by a helical break in the bone, typically caused by a twisting force, whereas other types of fractures, such as transverse or oblique fractures, have different patterns of breakage. Accurate identification of the fracture type is crucial for treatment and coding.