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v1.0.0
ICD-10 Guide
ICD-10 CodesS82.30

S82.30

Billable

Unspecified fracture of lower end of tibia

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

Code Description

ICD-10 S82.30 is a billable code used to indicate a diagnosis of unspecified fracture of lower end of tibia.

Key Diagnostic Point:

An unspecified fracture of the lower end of the tibia refers to a break in the tibia bone, located just above the ankle joint. This type of fracture can occur due to various mechanisms, including trauma from falls, sports injuries, or accidents. The tibia, being a weight-bearing bone, is crucial for mobility and stability. Fractures in this area can lead to significant pain, swelling, and difficulty in walking. The diagnosis often involves imaging studies such as X-rays or CT scans to confirm the fracture and assess its severity. Treatment may vary based on the fracture type and may include conservative management with immobilization or surgical intervention for more complex fractures. Rehabilitation is essential to restore function and strength post-injury. The unspecified nature of this code indicates that further details about the fracture type, such as whether it is open or closed, are not provided, which can complicate treatment planning and coding accuracy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity regarding fracture type (open/closed)
  • Variability in treatment protocols based on fracture severity
  • Potential for associated injuries (ligament tears, other fractures)
  • Need for detailed documentation to support coding

Audit Risk Factors

  • Insufficient documentation of fracture details
  • Inconsistent clinical notes regarding injury mechanism
  • Lack of follow-up documentation on treatment outcomes
  • Failure to document associated injuries or complications

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

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

Billing Considerations

Ensure all imaging and surgical notes are included to support the diagnosis.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient response.

Common Clinical Scenarios

Post-operative rehabilitation following tibial fracture repair.

Billing Considerations

Document functional assessments and goals for recovery.

Coding Guidelines

Inclusion Criteria

Use S82.30 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the unspecified nature of the fracture is justified by clinical documentation
  • Include any relevant details about the mechanism of injury and associated conditions

Exclusion Criteria

Do NOT use S82.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of tibial fracture

Clinical Scenario

Used when surgical intervention is performed for tibial fractures.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must provide comprehensive surgical notes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of fractures, improving specificity and accuracy in billing and treatment planning. S82.30 reflects the need for careful documentation to avoid ambiguity in fracture classification.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of fractures, improving specificity and accuracy in billing and treatment planning. S82.30 reflects the need for careful documentation to avoid ambiguity in fracture classification.

Reimbursement & Billing Impact

billing and treatment planning. S82.30 reflects the need for careful documentation to avoid ambiguity in fracture classification.

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 should I document to support the use of S82.30?

Document the mechanism of injury, any imaging results, treatment plans, and follow-up care to justify the use of this unspecified fracture code.