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v1.0.0
ICD-10 Guide
ICD-10 CodesS82.40

S82.40

Billable

Unspecified fracture of shaft of fibula

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

Code Description

ICD-10 S82.40 is a billable code used to indicate a diagnosis of unspecified fracture of shaft of fibula.

Key Diagnostic Point:

An unspecified fracture of the shaft of the fibula refers to a break in the fibula, which is the smaller of the two bones in the lower leg, located parallel to the tibia. This type of fracture can occur due to various mechanisms of injury, including direct trauma, falls, or sports-related injuries. The fibula plays a crucial role in stabilizing the ankle and supporting the muscles of the lower leg. Fractures of the fibula can be classified as either closed or open, with the latter involving a break in the skin. Symptoms typically include pain, swelling, bruising, and difficulty bearing weight on the affected leg. Diagnosis is usually confirmed through imaging studies such as X-rays or CT scans. Treatment may involve conservative management with immobilization in a cast or splint, or surgical intervention in cases of displacement or instability. Rehabilitation is essential for restoring function and strength to the leg post-injury. Understanding the nuances of fibular fractures is critical for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Potential for associated injuries (e.g., tibial fractures, ligament tears)
  • Need for precise documentation of fracture details
  • Differentiation between open and closed fractures

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document associated injuries
  • Misclassification of fracture type (open vs. closed)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure documentation reflects the mechanism of injury and any associated injuries.

Physical Medicine and Rehabilitation

Documentation Requirements

Assessment of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of fibular fractures.

Billing Considerations

Document progress notes and functional assessments to support ongoing treatment.

Coding Guidelines

Inclusion Criteria

Use S82.40 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code is used only when the fracture specifics are not documented
  • Include additional codes for any associated injuries or conditions

Exclusion Criteria

Do NOT use S82.40 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of fibular fracture

Clinical Scenario

Used when surgical intervention is required for fibular fractures.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and fixation method.

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 enhancing the ability to track treatment outcomes and complications.

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 enhancing the ability to track treatment outcomes and complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collection and enhancing the ability to track treatment outcomes and complications.

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 is the difference between an open and closed fibular fracture?

An open fibular fracture involves a break in the skin, exposing the bone, while a closed fracture does not break the skin. Open fractures typically require more intensive treatment due to the risk of infection.