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ICD-10 Guide
ICD-10 CodesS82.25

S82.25

Billable

Comminuted fracture of shaft of tibia

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

Code Description

ICD-10 S82.25 is a billable code used to indicate a diagnosis of comminuted fracture of shaft of tibia.

Key Diagnostic Point:

A comminuted fracture of the shaft of the tibia is characterized by the bone being broken into multiple fragments, which can complicate the healing process and may require surgical intervention. This type of fracture often results from high-energy trauma, such as motor vehicle accidents or falls from significant heights. The comminution can lead to instability in the bone structure, necessitating orthopedic evaluation and potential reconstructive procedures. Patients may present with severe pain, swelling, and inability to bear weight on the affected limb. Diagnostic imaging, typically X-rays or CT scans, is essential for assessing the extent of the fracture and planning treatment. Treatment options may include conservative management with immobilization or surgical intervention, such as intramedullary nailing or plating, to stabilize the fracture and promote healing. Complications can include nonunion, malunion, and infection, particularly in open fractures. Rehabilitation is crucial for restoring function and strength to the affected limb.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Multiple fragments complicate coding and treatment options.
  • Potential for associated soft tissue injuries.
  • Variability in surgical approaches and techniques.
  • Need for detailed documentation of fracture type and treatment.

Audit Risk Factors

  • Inadequate documentation of fracture details.
  • Failure to document associated injuries.
  • Incorrect coding of surgical procedures performed.
  • Lack of follow-up documentation on healing progress.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical fixation of tibial fractures, management of complications like infections.

Billing Considerations

Ensure accurate documentation of fracture type and surgical approach.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient response.

Common Clinical Scenarios

Rehabilitation post-fracture fixation, addressing mobility and strength.

Billing Considerations

Document functional limitations and goals for therapy.

Coding Guidelines

Inclusion Criteria

Use S82.25 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on treatment provided and any complications encountered

Exclusion Criteria

Do NOT use S82.25 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 performed for a comminuted fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and fixation method.

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 comminuted types, which aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including comminuted types, which aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including comminuted types, which aids in better tracking of treatment outcomes and resource allocation.

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 comminuted fracture and a simple fracture?

A comminuted fracture involves the bone being broken into multiple fragments, while a simple fracture is a clean break with two pieces of bone.