Unspecified fracture of lower end of right tibia
ICD-10 S82.301 is a billable code used to indicate a diagnosis of unspecified fracture of lower end of right tibia.
An unspecified fracture of the lower end of the right tibia refers to a break in the tibia bone, which is located in the lower leg, just above the ankle. This type of fracture can occur due to various mechanisms, including trauma from falls, sports injuries, or accidents. The lower end of the tibia is critical for weight-bearing and mobility, and fractures in this area can lead to significant functional impairment. Symptoms typically include localized pain, swelling, bruising, and difficulty bearing weight on the affected leg. Diagnosis is usually confirmed through imaging studies such as X-rays or CT scans. Treatment may vary based on the severity of the fracture and can range from conservative management with immobilization to surgical intervention for more complex fractures. Rehabilitation is often necessary to restore function and strength to the leg following healing. Accurate coding is essential for proper treatment planning and reimbursement.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Fractures resulting from sports injuries, falls, or vehicular accidents.
Documentation must clearly indicate the fracture type and any associated injuries to support the use of this code.
Comprehensive assessments of functional status and rehabilitation progress.
Patients undergoing rehabilitation post-fracture for strength and mobility restoration.
Documentation should reflect the patient's functional limitations and goals for therapy.
Used when surgical intervention is required for fracture repair.
Operative report detailing the procedure and any complications.
Orthopedic surgeons must document the specifics of the fracture and treatment approach.
S82.301 is used for unspecified fractures, while S82.302 is for displaced fractures of the lower end of the right tibia. Accurate documentation is crucial to determine the correct code.
