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ICD-10 Guide
ICD-10 CodesS82.255

S82.255

Billable

Nondisplaced comminuted fracture of shaft of left tibia

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

Code Description

ICD-10 S82.255 is a billable code used to indicate a diagnosis of nondisplaced comminuted fracture of shaft of left tibia.

Key Diagnostic Point:

A nondisplaced comminuted fracture of the shaft of the left tibia refers to a type of bone fracture where the bone is broken into multiple pieces but remains aligned and does not displace from its normal anatomical position. This type of fracture typically occurs due to high-energy trauma, such as falls or motor vehicle accidents, and can be associated with soft tissue injuries, including ligament tears around the knee joint. The tibia, being a weight-bearing bone, is crucial for mobility and stability. Treatment often involves conservative management with immobilization or surgical intervention, depending on the fracture's severity and associated injuries. Rehabilitation is essential to restore function and strength, particularly if there are concurrent injuries to the knee ligaments or surrounding structures. Accurate coding of this condition is vital for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Identifying the specific location of the fracture within the tibia
  • Understanding associated soft tissue injuries
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or complications
  • Incorrect coding of fracture displacement
  • Lack of clarity in the mechanism of injury

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes, and follow-up assessments are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents requiring surgical intervention.

Billing Considerations

Ensure that all associated injuries, such as ligament tears, are documented to support the coding of the fracture.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment plans, and patient responses.

Common Clinical Scenarios

Patients recovering from tibial fractures undergoing physical therapy for strength and mobility.

Billing Considerations

Documenting the patient's functional status and any complications that may affect recovery.

Coding Guidelines

Inclusion Criteria

Use S82.255 When
  • Follow the official ICD
  • CM coding guidelines for fractures, ensuring to document the specific type of fracture, its location, and any associated injuries

Exclusion Criteria

Do NOT use S82.255 When
  • Exclude codes for open fractures unless specified

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of tibial shaft fracture

Clinical Scenario

Used when surgical intervention is required for stabilization of the fracture.

Documentation Requirements

Surgical notes detailing the procedure performed and any implants used.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding of the procedure to match the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data for treatment and outcomes. This specificity aids in better tracking of injury patterns and treatment efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data for treatment and outcomes. This specificity aids in better tracking of injury patterns and treatment efficacy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data for treatment and outcomes. This specificity aids in better tracking of injury patterns and treatment efficacy.

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 nondisplaced fracture?

A displaced fracture occurs when the bone fragments are not aligned, while a nondisplaced fracture maintains proper alignment despite being broken.