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ICD-10 Guide
ICD-10 CodesS82.402

S82.402

Billable

Unspecified fracture of shaft of left fibula

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

Code Description

ICD-10 S82.402 is a billable code used to indicate a diagnosis of unspecified fracture of shaft of left fibula.

Key Diagnostic Point:

The unspecified fracture of the shaft of the left 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, including trauma from falls, sports injuries, or accidents. Symptoms typically include localized pain, swelling, and difficulty bearing weight on the affected leg. Diagnosis is often confirmed through imaging studies such as X-rays, which can reveal the fracture's location and severity. Treatment may vary based on the fracture's characteristics but often involves immobilization with a cast or splint, and in some cases, surgical intervention may be necessary to realign the bone fragments. Rehabilitation is crucial for restoring function and strength to the leg, particularly in athletes or active individuals. The fibula plays a significant role in stabilizing the ankle and supporting the muscles of the lower leg, making proper healing essential for overall mobility.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Need for precise documentation of injury mechanism
  • Potential for associated injuries (e.g., ligament tears)
  • Differentiation from other lower leg fractures

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document associated injuries
  • Misclassification of fracture type
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of any surgical interventions or complications.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Post-operative rehabilitation following fibular fracture repair.

Billing Considerations

Document functional assessments and goals for recovery.

Coding Guidelines

Inclusion Criteria

Use S82.402 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the fracture's location and type
  • Include any associated injuries or complications in the coding process

Exclusion Criteria

Do NOT use S82.402 When
  • Exclude codes for fractures that are specified as open or complicated

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of fibula fracture

Clinical Scenario

Used when surgical intervention is required for fibula fractures.

Documentation Requirements

Operative reports detailing the procedure and any complications.

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, improving the accuracy of fracture documentation and treatment tracking. However, the unspecified nature of S82.402 can lead to challenges in capturing the full clinical picture.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding, improving the accuracy of fracture documentation and treatment tracking. However, the unspecified nature of S82.402 can lead to challenges in capturing the full clinical picture.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding, improving the accuracy of fracture documentation and treatment tracking. However, the unspecified nature of S82.402 can lead to challenges in capturing the full clinical picture.

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 S82.402 and S82.401?

S82.402 is for unspecified fractures of the left fibula, while S82.401 is specifically for the right fibula. Accurate coding requires attention to the side of the injury.