Nondisplaced comminuted fracture of shaft of right tibia
ICD-10 S82.254 is a billable code used to indicate a diagnosis of nondisplaced comminuted fracture of shaft of right tibia.
A nondisplaced comminuted fracture of the shaft of the right tibia refers to a type of bone fracture where the bone is broken into multiple pieces but remains in its anatomical position, meaning the fragments have not shifted out of alignment. This type of fracture typically occurs due to high-energy trauma, such as a fall from a height or a motor vehicle accident. The tibia, or shinbone, is a weight-bearing bone that plays a crucial role in mobility and stability. Patients may present with significant pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, such as X-rays, which reveal the fracture pattern. Treatment often involves conservative management with immobilization in a cast or splint, although surgical intervention may be necessary in cases where the fracture is unstable or associated with soft tissue injuries. Rehabilitation is essential for restoring function and strength post-fracture. Understanding the nature of the fracture and its implications for treatment is critical for accurate coding and billing.
Detailed operative reports, imaging studies, and follow-up notes.
Fracture repair, management of complications, and rehabilitation protocols.
Ensure accurate documentation of fracture type and treatment plan.
Comprehensive assessments, treatment plans, and progress notes.
Rehabilitation post-fracture, pain management, and functional assessments.
Document functional limitations and goals for therapy.
Used when surgical intervention is required for fracture stabilization.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the fracture type and treatment rationale.
A displaced fracture involves the bone fragments being misaligned, while a nondisplaced fracture means the bone remains in its normal anatomical position despite being broken.
