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ICD-10 Guide
ICD-10 CodesS82.233

S82.233

Billable

Displaced oblique fracture of shaft of unspecified tibia

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

Code Description

ICD-10 S82.233 is a billable code used to indicate a diagnosis of displaced oblique fracture of shaft of unspecified tibia.

Key Diagnostic Point:

A displaced oblique fracture of the shaft of the tibia is characterized by a break in the bone that occurs at an angle, resulting in the bone fragments being misaligned. This type of fracture typically arises from high-energy trauma, such as falls, sports injuries, or vehicular accidents. The displacement of the fracture can lead to complications such as malunion or nonunion if not properly managed. Patients may present with significant pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, primarily X-rays, which reveal the fracture pattern and displacement. Treatment often involves orthopedic intervention, which may include closed reduction and immobilization or surgical fixation, depending on the severity and stability of the fracture. Rehabilitation is crucial for restoring function and strength to the affected limb, and follow-up care is necessary to monitor healing and prevent complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and locations
  • Need for precise documentation of displacement and obliqueness
  • Potential for associated injuries (e.g., ligament tears)
  • Variations in treatment approaches (surgical vs. conservative)

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to specify laterality (left or right tibia)
  • Misclassification of fracture severity
  • Lack of follow-up documentation on healing progress

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

Fracture repair surgeries, management of complications, and rehabilitation protocols.

Billing Considerations

Ensure that all relevant details about the fracture type, treatment, and patient progress are documented.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Post-operative rehabilitation, pain management, and functional recovery plans.

Billing Considerations

Documentation should reflect the impact of the fracture on the patient's daily activities and rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S82.233 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's characteristics, including displacement and obliqueness
  • Include any associated injuries or complications in the coding process

Exclusion Criteria

Do NOT use S82.233 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, fracture type, and any complications.

Specialty Considerations

Orthopedic surgeons must provide comprehensive documentation to support the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.233 provides a clear classification for displaced oblique fractures, facilitating better patient management and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.233 provides a clear classification for displaced oblique fractures, facilitating better patient management and outcomes.

Reimbursement & Billing Impact

reimbursement processes. S82.233 provides a clear classification for displaced oblique fractures, facilitating better patient management and outcomes.

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 properly, while a non-displaced fracture indicates that the bone remains in its normal position despite the break.