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ICD-10 Guide
ICD-10 CodesS82.26

S82.26

Billable

Segmental fracture of shaft of tibia

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

Code Description

ICD-10 S82.26 is a billable code used to indicate a diagnosis of segmental fracture of shaft of tibia.

Key Diagnostic Point:

A segmental fracture of the shaft of the tibia is characterized by two or more fracture lines in the same bone segment, resulting in a fracture that is separated by an intact segment of bone. This type of fracture often occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. Segmental fractures can lead to complications such as delayed union, nonunion, or malunion, necessitating careful management. The tibia, being a weight-bearing bone, is crucial for mobility, and injuries to this area can significantly impact a patient's quality of life. Treatment typically involves surgical intervention, including internal fixation with plates or intramedullary nails, to stabilize the fracture and promote healing. Rehabilitation is essential post-surgery to restore function and strength. In cases where associated injuries occur, such as ligament tears around the knee or fractures of the fibula, comprehensive orthopedic evaluation and management are required to ensure optimal recovery.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Multiple fracture lines complicate coding.
  • Potential for associated injuries (e.g., ligament tears).
  • Variability in treatment approaches (surgical vs. conservative).
  • Need for detailed documentation of fracture type and location.

Audit Risk Factors

  • Inadequate documentation of fracture type.
  • Failure to report associated injuries.
  • Incorrect coding of fracture location.
  • Lack of clarity in treatment plans.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Management of complex tibial fractures, including surgical fixation and rehabilitation.

Billing Considerations

Ensure accurate description of fracture patterns and associated injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient response.

Common Clinical Scenarios

Post-operative rehabilitation following tibial fracture repair.

Billing Considerations

Document functional assessments and progress towards mobility goals.

Coding Guidelines

Inclusion Criteria

Use S82.26 When
  • Follow official ICD
  • CM guidelines for coding fractures, including the need for specificity regarding the type and location of the fracture
  • Ensure compliance with guidelines for coding associated injuries and complications

Exclusion Criteria

Do NOT use S82.26 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of tibial shaft fracture

Clinical Scenario

Used when performing surgical fixation of a segmental tibial fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document fracture type 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 segmental fractures, which improves data accuracy and enhances patient care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including segmental fractures, which improves data accuracy and enhances patient care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including segmental fractures, which improves data accuracy and enhances patient care management.

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 segmental fracture and a simple fracture?

A segmental fracture involves multiple fracture lines within the same bone segment, while a simple fracture has only one fracture line. Segmental fractures are often more complex and may require more extensive treatment.