Fracture of lower end of tibia
ICD-10 S82.3 is a billable code used to indicate a diagnosis of fracture of lower end of tibia.
The fracture of the lower end of the tibia, also known as the distal tibial fracture, typically occurs just above the ankle joint. This injury is often the result of high-impact trauma, such as falls, sports injuries, or motor vehicle accidents. Patients may present with significant pain, swelling, and deformity in the affected area. The fracture can be classified as either closed or open, depending on whether the skin is intact. In addition to the fracture itself, associated injuries such as ligament tears, particularly of the ankle, may occur, complicating the clinical picture. Treatment often involves immobilization, and in some cases, surgical intervention may be necessary to realign the bone fragments and stabilize the fracture. Orthopedic reconstructive procedures may be indicated for severe fractures or those that do not heal properly. Rehabilitation is crucial for restoring function and strength to the affected limb, and the prognosis generally depends on the severity of the fracture and the presence of any associated injuries.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Fractures resulting from sports injuries, falls, or vehicular accidents requiring surgical intervention.
Ensure clear documentation of fracture classification and any associated procedures performed.
Comprehensive assessments of functional status and rehabilitation progress.
Patients undergoing rehabilitation post-fracture repair to regain mobility and strength.
Document the specific rehabilitation protocols and progress to support coding for therapy services.
Used when surgical intervention is performed for stabilization of the fracture.
Operative report detailing the procedure, materials used, and post-operative care.
Orthopedic surgeons must ensure accurate coding of the procedure to reflect the complexity of the surgery.
An open fracture involves a break in the skin, exposing the bone, while a closed fracture does not break the skin. Open fractures typically require more extensive treatment due to the risk of infection.
