Displaced comminuted fracture of shaft of unspecified tibia
ICD-10 S82.253 is a billable code used to indicate a diagnosis of displaced comminuted fracture of shaft of unspecified tibia.
A displaced comminuted fracture of the shaft of the tibia is characterized by the bone being broken into multiple fragments, with at least one fragment being displaced from its normal anatomical position. This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The shaft of the tibia is the long, central part of the bone, and fractures in this area can lead to complications such as malunion or nonunion if not properly managed. Symptoms often include severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the extent of the fracture and any associated injuries to surrounding structures, including ligaments and the fibula. Treatment usually involves surgical intervention, such as internal fixation with plates and screws, to realign the bone fragments and stabilize the fracture, followed by rehabilitation to restore function and strength.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Fractures resulting from sports injuries, falls, or vehicular accidents.
Ensure that all surgical interventions and post-operative care are documented to support the coding.
Progress notes detailing rehabilitation protocols and patient responses to therapy.
Rehabilitation following surgical fixation of tibial fractures.
Document functional assessments and goals to support the need for therapy.
Used when surgical fixation is performed for a tibial shaft fracture.
Operative report detailing the procedure and any complications.
Orthopedic surgeons must document the surgical approach and fixation method.
A comminuted fracture involves the bone being broken into multiple fragments, while a simple fracture is a clean break with two pieces. Comminuted fractures often require more complex treatment and have a higher risk of complications.
