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ICD-10 Guide
ICD-10 CodesS82.291

S82.291

Billable

Other fracture of shaft of right tibia

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

Code Description

ICD-10 S82.291 is a billable code used to indicate a diagnosis of other fracture of shaft of right tibia.

Key Diagnostic Point:

The S82.291 code refers to a specific type of fracture occurring in the shaft of the right tibia, which is the larger of the two bones in the lower leg. Fractures of the tibial shaft can occur due to various mechanisms, including direct trauma, falls, or sports injuries. These fractures may be classified as closed or open, depending on whether the skin is broken. The clinical presentation often includes localized pain, swelling, and deformity of the leg. Patients may experience difficulty bearing weight on the affected limb. Treatment typically involves immobilization with a cast or splint, and in some cases, surgical intervention may be necessary to realign the bone fragments and stabilize the fracture using plates, screws, or intramedullary nails. Complications can include nonunion, malunion, or infection, particularly in open fractures. Rehabilitation is crucial for restoring function and strength to the affected leg, and follow-up care is essential to monitor healing and address any complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types (e.g., closed vs. open fractures)
  • Potential for associated injuries (e.g., ligament tears, fibular fractures)
  • Need for detailed documentation of treatment plans and outcomes
  • Variations in surgical procedures and techniques used

Audit Risk Factors

  • Inadequate documentation of fracture type and treatment
  • Failure to document associated injuries or complications
  • Incorrect coding of open vs. closed fractures
  • Lack of follow-up documentation to support healing status

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fracture repair surgeries, management of complications, and rehabilitation protocols.

Billing Considerations

Ensure that all surgical interventions and post-operative care are thoroughly documented to support coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress are necessary.

Common Clinical Scenarios

Rehabilitation following fracture repair, management of pain, and functional recovery.

Billing Considerations

Documenting the patient's progress and any modifications to the rehabilitation plan is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use S82.291 When
  • According to ICD
  • 10 coding guidelines, S82
  • 291 should be used when the fracture is specifically identified as occurring in the shaft of the right tibia
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S82.291 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of tibial shaft fracture

Clinical Scenario

Used when surgical intervention is performed to stabilize a tibial shaft fracture.

Documentation Requirements

Operative report detailing the procedure, materials used, and post-operative care.

Specialty Considerations

Orthopedic surgeons must ensure that all aspects of the surgery are documented to support coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and type, which enhances the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and type, which enhances the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 S82.291 and S82.292?

S82.291 refers to fractures of the shaft of the right tibia, while S82.292 pertains to fractures of the shaft of the left tibia. Accurate coding requires attention to laterality.