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ICD-10 Guide
ICD-10 CodesS82.39

S82.39

Billable

Other fracture of lower end of tibia

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

Code Description

ICD-10 S82.39 is a billable code used to indicate a diagnosis of other fracture of lower end of tibia.

Key Diagnostic Point:

The S82.39 code refers to fractures occurring at the lower end of the tibia, which is a common site for injuries, particularly in sports and trauma-related incidents. These fractures can result from direct impact, falls, or twisting injuries, often associated with knee injuries or ligament tears. The lower end of the tibia articulates with the fibula and the talus, making it crucial for ankle stability and mobility. Fractures in this area can lead to complications such as malunion, nonunion, or post-traumatic arthritis. Treatment often involves immobilization, surgical intervention, or orthopedic reconstructive procedures depending on the fracture's severity and displacement. Accurate coding is essential for proper management and reimbursement, as these fractures can significantly impact a patient's mobility and quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types (e.g., simple vs. complex fractures)
  • Potential for associated injuries (e.g., ligament tears, fibular fractures)
  • Need for detailed documentation of fracture specifics (location, type, treatment)
  • Variations in treatment protocols based on patient age and activity level

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document associated injuries or treatments
  • Incorrect coding of fracture type or location
  • Lack of follow-up documentation on healing or complications

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential.

Common Clinical Scenarios

Fractures due to sports injuries, falls, or vehicular accidents.

Billing Considerations

Ensure documentation reflects the complexity of the fracture and any associated procedures.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation plans.

Common Clinical Scenarios

Post-fracture rehabilitation and management of complications.

Billing Considerations

Documenting the impact of the fracture on mobility and daily activities is crucial.

Coding Guidelines

Inclusion Criteria

Use S82.39 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on treatment modalities and follow
  • up care

Exclusion Criteria

Do NOT use S82.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of tibial fracture

Clinical Scenario

Used when surgical intervention is required for fracture stabilization.

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 more specific coding of fractures, improving the accuracy of patient records and reimbursement processes. S82.39 provides a clear distinction for fractures at the lower end of the tibia, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and reimbursement processes. S82.39 provides a clear distinction for fractures at the lower end of the tibia, which was less defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. S82.39 provides a clear distinction for fractures at the lower end of the tibia, which was less defined in ICD-9.

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 are the common causes of lower end tibia fractures?

Common causes include sports injuries, falls, and vehicular accidents, often resulting in varying degrees of fracture severity.

How do I differentiate between open and closed fractures?

Open fractures involve a break in the skin, exposing the bone, while closed fractures do not break the skin. Documentation should specify the type.