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ICD-10 Guide
ICD-10 CodesS82.23

S82.23

Billable

Oblique fracture of shaft of tibia

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

Code Description

ICD-10 S82.23 is a billable code used to indicate a diagnosis of oblique fracture of shaft of tibia.

Key Diagnostic Point:

An oblique fracture of the shaft of the tibia is characterized by a diagonal break in the bone, typically resulting from a high-energy impact or trauma, such as a fall or a sports-related injury. This type of fracture can lead to significant pain, swelling, and difficulty bearing weight on the affected leg. The oblique nature of the fracture can complicate healing, as it may disrupt the alignment of the bone, potentially leading to malunion or nonunion if not properly managed. Treatment often involves immobilization with a cast or splint, and in some cases, surgical intervention may be necessary to realign the bone fragments and stabilize the fracture using plates, screws, or intramedullary nails. Rehabilitation is crucial for restoring function and strength to the affected limb, and the prognosis generally depends on the severity of the fracture and the timeliness of treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture patterns and severity
  • Need for precise documentation of fracture type and location
  • Potential for associated soft tissue injuries
  • Variability in treatment approaches (surgical vs. non-surgical)

Audit Risk Factors

  • Inadequate documentation of fracture type and mechanism of injury
  • Failure to document associated injuries or complications
  • Incorrect coding of fracture healing status (e.g., malunion)
  • Misalignment with surgical procedure codes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.

Common Clinical Scenarios

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

Billing Considerations

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

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment modalities, and patient response.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of tibial fractures.

Billing Considerations

Document functional limitations and progress towards rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S82.23 When
  • Follow official ICD
  • CM guidelines for coding fractures, including specificity regarding the location and type of fracture
  • Ensure compliance with guidelines for coding associated injuries and complications

Exclusion Criteria

Do NOT use S82.23 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 an oblique fracture of the tibia.

Documentation Requirements

Operative report detailing the procedure, fixation method, and post-operative care.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the surgical approach.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including oblique fractures of the tibia. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including oblique fractures of the tibia. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding fractures, including oblique fractures of the tibia. This specificity aids in better tracking of treatment outcomes and resource allocation.

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 oblique fracture and a transverse fracture?

An oblique fracture occurs at an angle across the bone, while a transverse fracture is a straight break across the bone. The treatment and healing process may differ based on the fracture type.