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ICD-10 Guide
ICD-10 CodesS82.264

S82.264

Billable

Nondisplaced segmental fracture of shaft of right tibia

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

Code Description

ICD-10 S82.264 is a billable code used to indicate a diagnosis of nondisplaced segmental fracture of shaft of right tibia.

Key Diagnostic Point:

A nondisplaced segmental fracture of the shaft of the right tibia refers to a specific type of bone injury where the tibia, one of the two long bones in the lower leg, has sustained a fracture that does not result in the bone being misaligned or displaced. This type of fracture is characterized by the presence of two or more fracture lines in the shaft of the tibia, which can occur due to high-impact trauma, such as falls or sports injuries. The nondisplaced nature of the fracture means that the bone fragments remain in their anatomical position, which can lead to a more favorable healing process compared to displaced fractures. Clinical management typically involves immobilization through casting or bracing, and in some cases, surgical intervention may be necessary to ensure proper alignment and healing. Rehabilitation is crucial to restore function and strength to the affected limb, particularly in athletes or active individuals. Understanding the nuances of this fracture type is essential for accurate coding and appropriate treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and their implications.
  • Differentiation between displaced and nondisplaced fractures.
  • Knowledge of segmental fractures and their treatment protocols.
  • Documentation must specify laterality (right vs. left).

Audit Risk Factors

  • Inadequate documentation of fracture type and laterality.
  • Failure to specify the segmental nature of the fracture.
  • Misclassification of displaced vs. nondisplaced fractures.
  • Lack of detailed treatment plans in medical records.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes, and follow-up assessments.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

Ensure that all fracture details are documented, including the mechanism of injury and any associated injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient response.

Common Clinical Scenarios

Post-fracture rehabilitation focusing on strength and mobility.

Billing Considerations

Document functional limitations and goals for recovery to support coding for therapy services.

Coding Guidelines

Inclusion Criteria

Use S82.264 When
  • According to ICD
  • 10 guidelines, this code should be used when the fracture is confirmed through imaging and documented as nondisplaced
  • It is essential to include laterality and specify that it is a segmental fracture

Exclusion Criteria

Do NOT use S82.264 When
  • Exclusions include fractures that are displaced or involve other anatomical structures

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of tibial shaft fracture

Clinical Scenario

Used when surgical intervention is required for a nondisplaced segmental fracture.

Documentation Requirements

Surgical notes detailing the procedure and post-operative care.

Specialty Considerations

Orthopedic surgeons must document the rationale for 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 denote laterality and the nature of the fracture. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to denote laterality and the nature of the fracture. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement and compliance.

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 nondisplaced fracture?

A displaced fracture involves a misalignment of the bone fragments, while a nondisplaced fracture means the bone remains in its normal anatomical position.