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ICD-10 Guide
ICD-10 CodesS82.299

S82.299

Billable

Other fracture of shaft of unspecified tibia

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

Code Description

ICD-10 S82.299 is a billable code used to indicate a diagnosis of other fracture of shaft of unspecified tibia.

Key Diagnostic Point:

The S82.299 code is used to classify fractures of the shaft of the tibia that do not fall into more specific categories. These fractures can occur due to various mechanisms, including trauma from falls, sports injuries, or vehicular accidents. The tibia, being a weight-bearing bone, is susceptible to fractures that can lead to significant functional impairment. Fractures of the tibia may be associated with knee injuries, particularly when the fracture occurs in conjunction with ligament tears or damage to the knee joint. The management of these fractures often involves orthopedic reconstructive procedures, which may include internal fixation or external fixation, depending on the fracture's complexity and the patient's overall health. Accurate coding of these fractures is crucial for proper treatment planning and reimbursement, as well as for tracking outcomes in orthopedic care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Potential for associated injuries (e.g., ligament tears)
  • Need for detailed documentation of injury mechanism
  • Differentiation from other tibial/fibular fractures

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the fracture type, location, and treatment plan are essential.

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the mechanism of injury and any associated knee injuries.

Physical Medicine and Rehabilitation

Documentation Requirements

Assessment of functional impairment and rehabilitation goals.

Common Clinical Scenarios

Patients recovering from tibial fractures requiring physical therapy.

Billing Considerations

Focus on the impact of the fracture on mobility and rehabilitation progress.

Coding Guidelines

Inclusion Criteria

Use S82.299 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the fracture is not specified elsewhere
  • Include any relevant details about the fracture's nature and associated injuries

Exclusion Criteria

Do NOT use S82.299 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 required for fracture repair.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and treatment.

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 collection and reimbursement processes. S82.299 provides a broad classification that can capture a variety of tibial shaft fractures.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collection and reimbursement processes. S82.299 provides a broad classification that can capture a variety of tibial shaft fractures.

Reimbursement & Billing Impact

reimbursement processes. S82.299 provides a broad classification that can capture a variety of tibial shaft fractures.

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

When should I use S82.299 instead of a more specific tibial fracture code?

Use S82.299 when the fracture is not specified as open or closed, or when the exact location of the fracture is not documented. If more specific details are available, opt for those codes.