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ICD-10 Guide
ICD-10 CodesS82.263

S82.263

Billable

Displaced segmental fracture of shaft of unspecified tibia

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

Code Description

ICD-10 S82.263 is a billable code used to indicate a diagnosis of displaced segmental fracture of shaft of unspecified tibia.

Key Diagnostic Point:

A displaced segmental fracture of the shaft of the tibia is characterized by a break in the bone that results in two or more separate fragments, with at least one of these fragments being displaced from its normal anatomical position. This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The tibia, being the larger of the two bones in the lower leg, bears most of the weight and is crucial for mobility. Segmental fractures can complicate healing due to the instability they introduce, often requiring surgical intervention. Symptoms include severe pain, swelling, and inability to bear weight on the affected leg. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture pattern and displacement. Treatment may involve immobilization with a cast or surgical procedures such as internal fixation to stabilize the fragments and promote healing. Rehabilitation is essential to restore function and strength following the injury.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of fracture types and locations within the tibia
  • Need for precise documentation of displacement and segmental nature
  • Potential for associated injuries to ligaments or other structures
  • Variability in treatment approaches (surgical vs. non-surgical)

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to specify laterality or segmental nature
  • Misclassification of fracture severity
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments are necessary to support the diagnosis and treatment plan.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents requiring surgical intervention.

Billing Considerations

Ensure that all imaging studies and surgical notes clearly describe the fracture type and any associated injuries.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans and progress notes detailing functional outcomes and therapy interventions.

Common Clinical Scenarios

Patients recovering from surgical fixation of tibial fractures requiring physical therapy.

Billing Considerations

Document the patient's functional status and any complications during rehabilitation.

Coding Guidelines

Inclusion Criteria

Use S82.263 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of fracture type, displacement, and any associated injuries
  • Include details on laterality and the mechanism of injury
  • displaced fractures or fractures of other bones

Exclusion Criteria

Do NOT use S82.263 When
  • Exclude codes for non

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of tibial shaft fracture

Clinical Scenario

Used when surgical intervention is performed to stabilize the fracture.

Documentation Requirements

Operative report detailing the procedure, fixation method, and post-operative care.

Specialty Considerations

Orthopedic surgeons must document the fracture type and any complications during surgery.

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 the ability to capture the segmental nature and displacement of tibial fractures, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to capture the segmental nature and displacement of tibial fractures, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to capture the segmental nature and displacement of tibial fractures, which enhances data accuracy and improves patient care tracking.

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 in the bone where the ends are not aligned, while a non-displaced fracture means the bone cracks but maintains its proper alignment.