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ICD-10 Guide
ICD-10 CodesS82.392

S82.392

Billable

Other fracture of lower end of left tibia

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

Code Description

ICD-10 S82.392 is a billable code used to indicate a diagnosis of other fracture of lower end of left tibia.

Key Diagnostic Point:

The S82.392 code refers to fractures occurring at the lower end of the left tibia, which may not fit into more specific fracture categories. These fractures can result from various mechanisms, including trauma from falls, sports injuries, or vehicular accidents. The lower end of the tibia is critical for knee stability and function, as it articulates with the fibula and the talus. Fractures in this area can lead to complications such as malunion, nonunion, or post-traumatic arthritis. Symptoms typically include localized pain, swelling, bruising, and difficulty bearing weight. Diagnosis is confirmed through imaging studies, such as X-rays or MRI, which help assess the fracture type and any associated soft tissue injuries, including ligament tears. Treatment may involve conservative management with immobilization or surgical intervention, such as internal fixation or orthopedic reconstructive procedures, depending on the fracture's severity and stability. Rehabilitation is essential for restoring function and strength to the affected limb.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and associated injuries
  • Need for precise documentation of fracture details
  • Potential for multiple treatment options impacting coding
  • Differentiation from similar fracture codes

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document associated ligament injuries
  • Misclassification of fracture type
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate coding of any associated procedures, such as fixation or reconstruction.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment modalities, and patient response.

Common Clinical Scenarios

Post-operative rehabilitation following tibial fracture repair.

Billing Considerations

Document functional assessments and progress to support ongoing therapy needs.

Coding Guidelines

Inclusion Criteria

Use S82.392 When
  • Follow official ICD
  • CM guidelines for coding fractures, including the need for specificity regarding the location and type of fracture
  • Ensure compliance with guidelines for coding associated injuries and treatments

Exclusion Criteria

Do NOT use S82.392 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of tibial fracture

Clinical Scenario

Used when surgical intervention is required for fracture stabilization.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic documentation must include pre-operative assessments and post-operative care plans.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and facilitating better treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and facilitating better treatment planning.

Reimbursement & Billing Impact

reimbursement.

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 are the common causes of a lower end tibial fracture?

Common causes include falls, sports injuries, and vehicular accidents, particularly in individuals with weakened bone density.