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ICD-10 Guide
ICD-10 CodesS82.243

S82.243

Billable

Displaced spiral fracture of shaft of unspecified tibia

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

Code Description

ICD-10 S82.243 is a billable code used to indicate a diagnosis of displaced spiral fracture of shaft of unspecified tibia.

Key Diagnostic Point:

A displaced spiral fracture of the shaft of the tibia is characterized by a helical break in the bone that results in a misalignment of the fracture fragments. This type of fracture typically occurs due to a twisting force applied to the leg, often seen in sports injuries or falls. The displacement indicates that the bone fragments are not aligned properly, 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 or CT scans, which reveal the fracture pattern and displacement. Treatment may involve immobilization with a cast or brace, or surgical options such as intramedullary nailing or plating, depending on the severity and location of the fracture. Rehabilitation is crucial for restoring function and strength to the affected limb.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Need for precise documentation of displacement
  • Differentiation from non-displaced fractures
  • Potential for associated soft tissue injuries

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to specify laterality or location
  • Misclassification of fracture severity
  • Lack of imaging documentation to support diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments are essential to support the diagnosis and treatment plan.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of fracture type, displacement, and any associated soft tissue injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment modalities, and patient response to therapy.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of tibial fractures.

Billing Considerations

Document functional limitations and progress towards rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S82.243 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of fracture type, displacement, and any associated injuries
  • Include details from imaging studies and treatment plans

Exclusion Criteria

Do NOT use S82.243 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 spiral fracture.

Documentation Requirements

Operative report detailing the procedure, fracture type, and any implants used.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and treatment 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 details about displacement and fracture type, which enhances the accuracy of medical 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 medical 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 the bone fragments are not aligned, while a non-displaced fracture means the bone remains in its normal position despite the fracture.