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ICD-10 Guide
ICD-10 CodesS82.245

S82.245

Billable

Nondisplaced spiral fracture of shaft of left tibia

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

Code Description

ICD-10 S82.245 is a billable code used to indicate a diagnosis of nondisplaced spiral fracture of shaft of left tibia.

Key Diagnostic Point:

A nondisplaced spiral fracture of the shaft of the left tibia is characterized by a fracture line that spirals around the bone without causing any displacement of the bone fragments. This type of fracture typically occurs due to a twisting or rotational force applied to the leg, often seen in sports injuries or falls. Clinically, patients may present with localized pain, swelling, and tenderness along the shaft of the tibia. The fracture may be confirmed through imaging studies such as X-rays, which will show the characteristic spiral fracture pattern. Treatment usually involves conservative management, including immobilization with a cast or splint, and in some cases, physical therapy may be required to restore function. Surgical intervention is generally not necessary unless there are complications or associated injuries. The prognosis for nondisplaced fractures is typically favorable, with most patients returning to normal activities within weeks to months, depending on the severity of the injury and adherence to rehabilitation protocols.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the specific location of the fracture (shaft vs. distal/proximal)
  • Identifying associated injuries or complications
  • Proper documentation of the mechanism of injury

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the laterality of the fracture
  • Misclassification of fracture type (nondisplaced vs. displaced)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents.

Billing Considerations

Ensure accurate description of fracture characteristics and any associated injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Post-fracture rehabilitation and recovery protocols.

Billing Considerations

Document functional limitations and goals for therapy.

Coding Guidelines

Inclusion Criteria

Use S82.245 When
  • According to ICD
  • 10 guidelines, S82
  • 245 should be used when the fracture is confirmed as nondisplaced and specifically located in the shaft of the left tibia
  • It is important to document the laterality and type of fracture accurately

Exclusion Criteria

Do NOT use S82.245 When
  • Exclusion criteria include any displaced fractures or fractures involving the joint

Related ICD-10 Codes

Related CPT Codes

28485CPT Code

Open treatment of tibial shaft fracture

Clinical Scenario

Used when surgical intervention is required for a tibial fracture.

Documentation Requirements

Surgical notes detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and fixation method.

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 laterality and type. This specificity aids in better tracking of injury patterns and outcomes, which is crucial for quality improvement in orthopedic care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and type. This specificity aids in better tracking of injury patterns and outcomes, which is crucial for quality improvement in orthopedic care.

Reimbursement & Billing Impact

reimbursement and to avoid denials.

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 nondisplaced and displaced fracture?

A nondisplaced fracture means that the bone cracks but maintains its proper alignment, while a displaced fracture involves a break where the bone fragments are misaligned.