What is the ICD-10 code for a tibial fracture?

The ICD-10 code for a tibial fracture depends on the fracture's location and type. For example, S82.201A is used for an unspecified fracture of the shaft of the right tibia, initial encounter for closed fracture.

How do you code an open tibial fracture?

An open tibial fracture is coded using the appropriate ICD-10 code with a 7th character indicating the encounter type, such as S82.201B for an initial encounter.

ICD-10 Coding for Tibial Fracture(S82.201A, M97.1, S82.14)

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Comprehensive guide to ICD-10 coding for tibial fractures, including open and closed fracture codes, documentation requirements, and coding pitfalls.

Also known as:

Tibia FractureFracture of Tibia

Related ICD-10 Code Ranges

Complete code families applicable to Tibial Fracture

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
S82.201A	Unspecified fracture of shaft of right tibia, initial encounter for closed fracture	Use for initial encounters where the fracture is closed and involves the shaft of the right tibia.	X-ray showing fracture line in the shaft of the tibia Physical exam indicating swelling and tenderness over the tibial shaft
S82.201B	Unspecified fracture of shaft of right tibia, initial encounter for open fracture	Use for initial encounters where the fracture is open and involves the shaft of the right tibia.	X-ray showing fracture line in the shaft of the tibia Clinical documentation of open wound with bone exposure

Primary ICD-10-CM Codes

Unspecified fracture of shaft of right tibia, initial encounter for closed fracture

S82.201ABillable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Fracture of medial condyle of tibiaS82.14

Documentation & Coding Risks

Avoid these common issues when documenting Tibial Fracture.

Failure to document open fracture classification

Impact

Clinical: Inaccurate treatment planning and follow-up care., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.

Mitigation

Always document the Gustilo-Anderson classification for open fractures., Include wound size and bone exposure details.

Using unspecified 7th characters for encounter type

Impact

Reimbursement: Incorrect coding can lead to denied claims or reduced reimbursement., Compliance: Failure to comply with coding guidelines can result in audits., Data Quality: Unspecified codes reduce the accuracy of health data.

Mitigation

Always specify the encounter type using the appropriate 7th character (e.g., A for initial, D for subsequent).

Unspecified fracture coding

Impact

Using unspecified codes can trigger audits due to lack of specificity.

Mitigation

Ensure all documentation includes specific details about the fracture type, location, and encounter.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with S82.201A.

Primary Code

S82.201A

Unspecified fracture of shaft of right tibia, initial encounter for closed fracture

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ICD-10 codes10

Coding risks3

FAQs2

ICD-10 Coding for Tibial Fracture(S82.201A, M97.1, S82.14)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for a tibial fracture?

How do you code an open tibial fracture?

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