Other fracture of lower end of right tibia
ICD-10 S82.391 is a billable code used to indicate a diagnosis of other fracture of lower end of right tibia.
The S82.391 code refers to fractures occurring at the lower end of the right tibia, which can result from various mechanisms such as trauma, falls, or sports injuries. These fractures may involve the distal tibia and can be classified as either stable or unstable, depending on the fracture pattern. Commonly, these injuries are associated with knee injuries, as the tibia plays a crucial role in weight-bearing and knee stability. Patients may present with pain, swelling, and limited mobility in the affected leg. Diagnosis typically involves imaging studies such as X-rays or CT scans to assess the fracture type and any associated injuries, including ligament tears or damage to the fibula. Treatment options may range from conservative management, such as immobilization and physical therapy, to surgical interventions like internal fixation or orthopedic reconstructive procedures, especially in cases of complex fractures or when there is significant displacement. Proper coding requires thorough documentation of the fracture type, treatment plan, and any associated injuries to ensure accurate billing and compliance with coding guidelines.
Detailed operative reports, imaging studies, and follow-up notes.
Fractures resulting from sports injuries, falls, or vehicular accidents.
Ensure accurate documentation of fracture classification and any surgical interventions performed.
Comprehensive assessments of functional limitations and rehabilitation plans.
Post-operative rehabilitation following tibial fracture repair.
Document the patient's progress and any complications during rehabilitation.
Used when surgical intervention is required for complex fractures.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the fracture type and any associated procedures performed.
S82.391 refers specifically to fractures of the lower end of the right tibia, while S82.392 pertains to fractures of the lower end of the left tibia. Accurate coding requires attention to laterality.
