Nondisplaced segmental fracture of shaft of left tibia
ICD-10 S82.265 is a billable code used to indicate a diagnosis of nondisplaced segmental fracture of shaft of left tibia.
A nondisplaced segmental fracture of the shaft of the left tibia refers to a type of bone fracture where the bone is broken into two or more segments but remains in its normal anatomical position, meaning that the fracture does not cause the bone to shift out of alignment. This type of fracture typically occurs due to high-energy trauma, such as falls or sports injuries. The tibia, or shinbone, is one of the two long bones in the lower leg, and fractures in this area can significantly impact mobility and function. Patients may present with localized pain, swelling, and tenderness along the shaft of the tibia, and may have difficulty bearing weight on the affected leg. Diagnosis is usually confirmed through imaging studies such as X-rays, which can reveal the fracture pattern. Treatment often involves conservative management with immobilization in a cast or splint, and in some cases, surgical intervention may be necessary to ensure proper healing and alignment. Rehabilitation is crucial to restore strength and function post-injury, especially in athletes or active individuals.
Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.
Fracture repair, management of complications, and rehabilitation protocols.
Ensure that all relevant imaging and surgical interventions are documented to support the coding.
Comprehensive assessments of functional status and rehabilitation progress.
Post-fracture rehabilitation, pain management, and mobility training.
Documenting the impact of the fracture on daily activities and the rehabilitation plan is crucial.
Used when surgical intervention is required for fracture stabilization.
Operative notes detailing the procedure and any implants used.
Orthopedic surgeons must document the surgical approach and any complications.
A nondisplaced fracture means the bone cracks but maintains its normal alignment, while a displaced fracture involves the bone fragments moving out of their normal position.
