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ICD-10 Guide
ICD-10 CodesS82.262

S82.262

Billable

Displaced segmental fracture of shaft of left tibia

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

Code Description

ICD-10 S82.262 is a billable code used to indicate a diagnosis of displaced segmental fracture of shaft of left tibia.

Key Diagnostic Point:

A displaced segmental fracture of the shaft of the left tibia is a serious orthopedic injury characterized by a break in the tibia that results in two or more fragments, with at least one fragment being displaced from its normal anatomical position. This type of fracture often occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The displacement can lead to complications such as malunion or nonunion if not properly managed. Patients typically 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 pattern and displacement. Treatment usually involves surgical intervention, such as intramedullary nailing or plating, to stabilize the fracture and promote healing. Rehabilitation is essential for restoring function and strength to the affected limb, and follow-up care is critical to monitor for potential complications.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of fracture type and displacement
  • Involves understanding of orthopedic terminology and anatomy
  • May require knowledge of surgical procedures for accurate coding
  • Potential for multiple codes if associated injuries are present

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to specify laterality (left vs. right)
  • Incorrect coding of associated injuries or procedures
  • Lack of follow-up documentation for surgical interventions

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, post-operative follow-ups, and management of complications such as infections or nonunions.

Billing Considerations

Ensure that all surgical interventions and their outcomes are documented to support the coding of the fracture and any associated procedures.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress are necessary.

Common Clinical Scenarios

Rehabilitation following surgical repair of tibial fractures, management of pain, and functional recovery.

Billing Considerations

Documentation should reflect the patient's progress and any complications that may affect rehabilitation outcomes.

Coding Guidelines

Inclusion Criteria

Use S82.262 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is coded to the highest level of specificity
  • Include laterality and the specific type of fracture
  • displaced fractures or fractures of other bones

Exclusion Criteria

Do NOT use S82.262 When
  • Exclude coding for non

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of tibial shaft fracture

Clinical Scenario

Used during surgical intervention for displaced segmental fractures.

Documentation Requirements

Operative report detailing the procedure and any complications.

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, improving the accuracy of patient records and reimbursement processes. S82.262 captures detailed information about the fracture type and location, which is crucial for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and reimbursement processes. S82.262 captures detailed information about the fracture type and location, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S82.262 captures detailed information about the fracture type and location, which is crucial for treatment planning.

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 means the bone remains in its normal position despite the break.