Unspecified fracture of shaft of left tibia
ICD-10 S82.202 is a billable code used to indicate a diagnosis of unspecified fracture of shaft of left tibia.
An unspecified fracture of the shaft of the left tibia refers to a break in the long bone located in the lower leg, specifically the tibia, which is the larger and stronger of the two bones in the leg. This type of fracture can occur due to various mechanisms, including trauma from falls, sports injuries, or vehicular accidents. The fracture may be classified as closed (skin intact) or open (skin broken), and it can vary in severity from a simple crack to a complete break. 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 immobilization with a cast or splint, and in some cases, surgical intervention may be necessary to realign the bone fragments and stabilize the fracture. Rehabilitation is often required to restore function and strength to the leg. Given the potential for complications such as nonunion or malunion, careful monitoring and follow-up are essential.
Detailed operative reports, imaging studies, and follow-up notes are essential.
Fracture repair, post-operative care, and rehabilitation management.
Ensure accurate coding of any surgical procedures performed in conjunction with the fracture treatment.
Comprehensive assessments of functional status and rehabilitation progress.
Rehabilitation post-fracture, management of pain, and mobility training.
Document any co-morbid conditions that may affect rehabilitation outcomes.
Used when surgical intervention is performed for fracture repair.
Operative report detailing the procedure and any implants used.
Orthopedic surgeons must ensure accurate coding of the procedure performed.
S82.202 is used for unspecified fractures of the shaft of the left tibia, while S82.201 is specifically for closed fractures. Accurate documentation is essential to determine the correct code.
