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ICD-10 Guide
ICD-10 CodesS82.261

S82.261

Billable

Displaced segmental fracture of shaft of right tibia

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

Code Description

ICD-10 S82.261 is a billable code used to indicate a diagnosis of displaced segmental fracture of shaft of right tibia.

Key Diagnostic Point:

A displaced segmental fracture of the shaft of the right tibia is a serious orthopedic injury characterized by a break in the tibia that results in two or more separate fragments of bone. This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The displacement of the fracture fragments can lead to misalignment, which may complicate healing and necessitate surgical intervention. Patients often present with severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, including X-rays or CT scans, which reveal the fracture's location and displacement. Treatment may involve immobilization with a cast or brace for non-displaced fractures, while displaced fractures often require surgical intervention, such as internal fixation with plates and screws, to realign the bone fragments and stabilize the fracture site. Rehabilitation is crucial for restoring function and strength to the affected limb, and follow-up care is essential to monitor healing and prevent complications such as nonunion or malunion.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise documentation of fracture type and location.
  • Differentiation between displaced and non-displaced fractures.
  • Potential for multiple associated injuries (e.g., ligament tears).
  • Need for surgical vs. non-surgical treatment coding.

Audit Risk Factors

  • Inadequate documentation of fracture specifics.
  • Failure to capture associated injuries (e.g., ligament tears).
  • Incorrect coding of the laterality (right vs. left).
  • Misclassification of fracture type (displaced vs. non-displaced).

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of displaced fractures, management of complications.

Billing Considerations

Ensure clear documentation of fracture characteristics and treatment rationale.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals and outcomes.

Common Clinical Scenarios

Post-operative rehabilitation, management of mobility issues.

Billing Considerations

Document functional assessments and patient compliance with therapy.

Coding Guidelines

Inclusion Criteria

Use S82.261 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of fracture type, laterality, and any associated injuries
  • Include details on treatment provided and any complications encountered during care

Exclusion Criteria

Do NOT use S82.261 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 segmental fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

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 details about displacement and segmental nature, 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 segmental nature, 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 involves a break where the bone fragments are misaligned, while a non-displaced fracture means the bone cracks but maintains its proper alignment.