Fracture of shaft of tibia
ICD-10 S82.2 is a billable code used to indicate a diagnosis of fracture of shaft of tibia.
A fracture of the shaft of the tibia is a common orthopedic injury that typically results from high-energy trauma, such as motor vehicle accidents, falls from heights, or sports injuries. The tibia, or shinbone, is the larger of the two bones in the lower leg and bears most of the body's weight. Fractures can be classified as either closed (skin intact) or open (skin broken), and they may vary in complexity from simple transverse fractures to more complicated comminuted fractures where the bone is shattered into multiple pieces. Symptoms often include severe pain, swelling, deformity, and inability to bear weight on the affected leg. Treatment usually involves immobilization with a cast or splint for stable fractures, while unstable or displaced fractures may require surgical intervention, such as intramedullary nailing or plating. Rehabilitation is crucial for restoring function and strength, particularly in athletes or active individuals. Complications can include nonunion, malunion, and infection, especially in open fractures. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.
Fractures resulting from sports injuries, falls, or vehicular accidents requiring surgical intervention.
Ensure documentation reflects the complexity of the fracture and any associated procedures performed.
Comprehensive assessments of functional limitations and rehabilitation progress.
Patients undergoing rehabilitation post-fracture repair to restore mobility and strength.
Document the patient's functional status and response to therapy for accurate coding.
Used when surgical intervention is performed for tibial shaft fractures.
Operative notes detailing the procedure, materials used, and post-operative care.
Orthopedic surgeons must provide comprehensive documentation to support the surgical procedure.
An open tibial fracture involves a break in the skin over the fracture site, increasing the risk of infection, while a closed fracture does not break the skin.
