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ICD-10 Guide
ICD-10 CodesS82.221

S82.221

Billable

Displaced transverse fracture of shaft of right tibia

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

Code Description

ICD-10 S82.221 is a billable code used to indicate a diagnosis of displaced transverse fracture of shaft of right tibia.

Key Diagnostic Point:

A displaced transverse fracture of the shaft of the right tibia is characterized by a break in the bone that occurs across its width, resulting in a misalignment of the fracture fragments. This type of fracture typically results from high-energy trauma, such as falls or motor vehicle accidents, and can lead to significant functional impairment if not treated appropriately. The tibia, being the larger of the two bones in the lower leg, bears most of the weight and is crucial for mobility. Treatment often involves realignment of the bone fragments, which may require surgical intervention such as internal fixation with plates or rods. Post-operative care includes rehabilitation to restore strength and range of motion, as well as monitoring for potential complications such as nonunion or malunion of the fracture. Accurate coding of this condition is essential for proper reimbursement and to ensure that the patient receives appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires precise documentation of fracture type and location.
  • Differentiation between displaced and non-displaced fractures.
  • Potential for associated soft tissue injuries.
  • Need for surgical vs. non-surgical treatment coding.

Audit Risk Factors

  • Inadequate documentation of fracture characteristics.
  • Failure to specify laterality (right vs. left).
  • Misclassification of fracture type (transverse vs. oblique).
  • Inconsistent treatment documentation.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative follow-up notes.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of fracture type, treatment plan, and any complications.

Physical Therapy

Documentation Requirements

Initial evaluation notes, progress reports, and discharge summaries.

Common Clinical Scenarios

Rehabilitation following surgical fixation of tibial fractures.

Billing Considerations

Document functional assessments and treatment goals to support coding for therapy services.

Coding Guidelines

Inclusion Criteria

Use S82.221 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's characteristics, including laterality and displacement
  • Include any associated injuries or conditions that may affect treatment

Exclusion Criteria

Do NOT use S82.221 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of tibial shaft fracture

Clinical Scenario

Used when surgical intervention is performed for a displaced tibial fracture.

Documentation Requirements

Operative report detailing the procedure and any implants used.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and treatment.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and laterality, which enhances the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and laterality, which enhances the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 a displaced and non-displaced fracture?

A displaced fracture means that the bone fragments are not aligned, while a non-displaced fracture indicates that the bone remains in its normal position despite the break.