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v1.0.0
ICD-10 Guide
ICD-10 CodesS82.302

S82.302

Billable

Unspecified fracture of lower end of left tibia

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

Code Description

ICD-10 S82.302 is a billable code used to indicate a diagnosis of unspecified fracture of lower end of left tibia.

Key Diagnostic Point:

An unspecified fracture of the lower end of the left tibia refers to a break in the bone located near the ankle joint, which can occur due to various mechanisms such as trauma, falls, or sports injuries. This type of fracture can lead to significant pain, swelling, and difficulty in weight-bearing activities. The tibia, or shinbone, is a crucial weight-bearing bone in the lower leg, and fractures in this area can affect mobility and require careful management. Treatment often involves immobilization with a cast or splint, and in some cases, surgical intervention may be necessary to realign the bone fragments. Rehabilitation is essential for restoring function and strength to the affected limb. The unspecified nature of this code indicates that further details about the fracture type (e.g., open or closed) and specific location 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 (e.g., open vs. closed)
  • Variability in treatment approaches based on fracture characteristics
  • Potential for associated injuries (e.g., ligament tears, fibular fractures)
  • Need for detailed documentation to support coding

Audit Risk Factors

  • Insufficient documentation of fracture details
  • Inconsistent coding of associated injuries
  • Failure to document treatment plans and outcomes
  • Lack of follow-up notes indicating healing progress

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or motor vehicle accidents.

Billing Considerations

Documentation must specify the type of fracture and any associated injuries to ensure appropriate coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans and progress notes are necessary to support the need for therapy.

Common Clinical Scenarios

Patients requiring rehabilitation post-fracture for mobility and strength restoration.

Billing Considerations

Documentation should reflect the functional limitations and goals of therapy.

Coding Guidelines

Inclusion Criteria

Use S82.302 When
  • According to ICD
  • 10 coding guidelines, fractures should be coded based on the specific site and type
  • The unspecified nature of S82
  • 302 necessitates careful documentation to support its use, particularly in cases where more specific codes could apply

Exclusion Criteria

Do NOT use S82.302 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 required for fracture stabilization.

Documentation Requirements

Operative reports detailing the procedure and any complications.

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 enhancing the ability to track treatment outcomes. However, the use of unspecified codes like S82.302 may lead to challenges in reimbursement and care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of fractures, improving specificity and enhancing the ability to track treatment outcomes. However, the use of unspecified codes like S82.302 may lead to challenges in reimbursement and care management.

Reimbursement & Billing Impact

reimbursement and care management.

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 S82.302?

Document the mechanism of injury, clinical findings, imaging results, treatment plans, and any follow-up assessments to provide a comprehensive picture of the patient's condition.