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ICD-10 Guide
ICD-10 CodesS82.256

S82.256

Billable

Nondisplaced comminuted fracture of shaft of unspecified tibia

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

Code Description

ICD-10 S82.256 is a billable code used to indicate a diagnosis of nondisplaced comminuted fracture of shaft of unspecified tibia.

Key Diagnostic Point:

A nondisplaced comminuted fracture of the shaft of the tibia occurs when the bone is broken into multiple pieces but remains in its anatomical position. This type of fracture is often the result of high-energy trauma, such as a fall from a height or a motor vehicle accident. The tibia, being a weight-bearing bone, is crucial for mobility and stability in the lower limb. Patients may present with significant pain, swelling, and inability to bear weight on the affected leg. Diagnosis typically involves imaging studies, such as X-rays, which reveal the fracture pattern. Treatment may vary based on the fracture's characteristics and the patient's overall health, ranging from conservative management with immobilization to surgical intervention for stabilization. Rehabilitation is essential to restore function and strength in the affected limb. Understanding the nuances of this fracture type is critical for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Need for precise documentation of fracture characteristics
  • Differentiation from other tibial fractures
  • Potential for associated soft tissue injuries

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to specify laterality
  • Misclassification of fracture type
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

Ensure accurate description of fracture type and any surgical interventions performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans and progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture for strength and mobility.

Billing Considerations

Document functional limitations and goals for therapy.

Coding Guidelines

Inclusion Criteria

Use S82.256 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of fracture type, laterality, and any associated injuries
  • Include details on treatment plans and follow
  • up care

Exclusion Criteria

Do NOT use S82.256 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 stabilization.

Documentation Requirements

Surgical notes detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the fracture type and treatment rationale.

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 accuracy of patient records and treatment plans. S82.256 provides a clear classification for nondisplaced comminuted fractures, facilitating better management and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and treatment plans. S82.256 provides a clear classification for nondisplaced comminuted fractures, facilitating better management and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 nondisplaced and displaced fracture?

A nondisplaced fracture means the bone is broken but remains in its normal position, while a displaced fracture involves the bone fragments moving out of alignment.