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ICD-10 Guide
ICD-10 CodesS82.242

S82.242

Billable

Displaced spiral fracture of shaft of left tibia

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

Code Description

ICD-10 S82.242 is a billable code used to indicate a diagnosis of displaced spiral fracture of shaft of left tibia.

Key Diagnostic Point:

A displaced spiral fracture of the shaft of the left tibia is a specific type of bone fracture characterized by a helical break in the tibia, which is the larger of the two bones in the lower leg. This injury typically occurs due to a twisting force applied to the leg, often seen in sports injuries or falls. The displacement indicates that the fracture fragments have moved out of their normal alignment, which can complicate healing and may require surgical intervention. Symptoms often include severe pain, swelling, and an inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies such as X-rays, which reveal the fracture's location and displacement. Treatment may involve immobilization with a cast or surgical procedures such as internal fixation to realign the bone fragments. Rehabilitation is crucial for restoring function and strength to the leg post-injury.

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 soft tissue injuries
  • Variability in treatment approaches (surgical vs. conservative)

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries or complications
  • Incorrect coding of the laterality (left vs. right)
  • Lack of follow-up notes on healing progress

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of displaced fractures, management of complications such as infection or non-union.

Billing Considerations

Ensure clear documentation of the surgical approach and fixation method used.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Post-operative rehabilitation following fracture repair, management of pain and mobility.

Billing Considerations

Document functional goals and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S82.242 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of fracture type, laterality, and any associated injuries
  • Include details about the mechanism of injury and treatment plan

Exclusion Criteria

Do NOT use S82.242 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, fixation method, and post-operative care.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and any complications.

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 details about displacement and fracture type, which enhances the accuracy of patient records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and fracture type, which enhances the accuracy of patient records 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 displaced and non-displaced fracture?

A displaced fracture means that the bone fragments have moved out of alignment, while a non-displaced fracture means the bone remains in its normal position despite the fracture.