Unspecified fracture of lower end of left tibia
ICD-10 S82.302 is a billable code used to indicate a diagnosis of unspecified fracture of lower end of left tibia.
An unspecified fracture of the lower end of the left tibia refers to a break in the bone located near the ankle joint, which can occur due to various mechanisms such as trauma, falls, or sports injuries. This type of fracture can lead to significant pain, swelling, and difficulty in weight-bearing activities. The tibia, or shinbone, is a crucial weight-bearing bone in the lower leg, and fractures in this area can affect mobility and require careful management. Treatment often involves immobilization with a cast or splint, and in some cases, surgical intervention may be necessary to realign the bone fragments. Rehabilitation is essential for restoring function and strength to the affected limb. The unspecified nature of this code indicates that further details about the fracture type (e.g., open or closed) and specific location are not provided, which can complicate treatment planning and coding accuracy.
Detailed imaging reports, surgical notes, and follow-up assessments are essential for accurate coding.
Fractures resulting from sports injuries, falls, or motor vehicle accidents.
Documentation must specify the type of fracture and any associated injuries to ensure appropriate coding.
Comprehensive rehabilitation plans and progress notes are necessary to support the need for therapy.
Patients requiring rehabilitation post-fracture for mobility and strength restoration.
Documentation should reflect the functional limitations and goals of therapy.
Used when surgical intervention is required for fracture stabilization.
Operative reports detailing the procedure and any complications.
Orthopedic surgeons must provide comprehensive surgical notes.
Document the mechanism of injury, clinical findings, imaging results, treatment plans, and any follow-up assessments to provide a comprehensive picture of the patient's condition.