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ICD-10 Guide
ICD-10 CodesS82.4

S82.4

Billable

Fracture of shaft of fibula

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

Code Description

ICD-10 S82.4 is a billable code used to indicate a diagnosis of fracture of shaft of fibula.

Key Diagnostic Point:

A fracture of the shaft of the fibula is a common injury that typically occurs due to trauma, such as a fall, sports injury, or motor vehicle accident. The fibula is the smaller of the two bones in the lower leg, located parallel to the tibia. Fractures of the fibula can occur in isolation or in conjunction with tibial fractures, particularly in cases of high-energy trauma. Symptoms include localized pain, swelling, bruising, and difficulty bearing weight on the affected leg. Diagnosis is usually confirmed through radiographic imaging, which reveals the fracture line and any associated displacement. Treatment options vary based on the fracture type and severity, ranging from conservative management with immobilization to surgical intervention for displaced fractures. In cases where the fibula fracture is associated with knee injuries or ligament tears, such as an anterior cruciate ligament (ACL) tear, comprehensive orthopedic evaluation and management are essential to ensure proper healing and restore function. Rehabilitation often includes physical therapy to regain strength and mobility.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between isolated fibula fractures and those associated with tibial fractures.
  • Understanding the implications of concurrent knee injuries.
  • Identifying the need for surgical intervention versus conservative treatment.
  • Documenting the specific location and type of fracture accurately.

Audit Risk Factors

  • Inadequate documentation of fracture type and location.
  • Failure to document associated injuries, such as ligament tears.
  • Incorrect coding of treatment procedures.
  • Lack of clarity in the medical necessity for surgical intervention.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre- and post-operative assessments.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of any associated ligament injuries or surgical procedures performed.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment plans, and patient responses.

Common Clinical Scenarios

Rehabilitation following fibula fractures and associated knee injuries.

Billing Considerations

Document functional limitations and progress towards recovery to support billing.

Coding Guidelines

Inclusion Criteria

Use S82.4 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on treatment modalities and patient outcomes

Exclusion Criteria

Do NOT use S82.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27814CPT Code

Open treatment of fibula fracture

Clinical Scenario

Used when surgical intervention is required for fibula fractures.

Documentation Requirements

Operative report detailing the procedure and any complications.

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 fibula fractures, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track outcomes and complications associated with these injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fibula fractures, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track outcomes and complications associated with these injuries.

Reimbursement & Billing Impact

reimbursement processes. It has also enhanced the ability to track outcomes and complications associated with these injuries.

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 S82.4 and S82.2?

S82.4 specifically refers to fractures of the shaft of the fibula, while S82.2 pertains to fractures of the shaft of the tibia. Accurate coding requires distinguishing between these two bones.