2022 ICD-10-CM Code S82.20
Unspecified fracture of shaft of tibia

Version 2022
ICD-10:S82.20
Short Description:Unspecified fracture of shaft of tibia
Long Description:Unspecified fracture of shaft of tibia
Status: Not Valid for Submission

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the knee and lower leg (S80-S89)
      • Fracture of lower leg, including ankle (S82)

S82.20 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unspecified fracture of shaft of tibia. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like S82.20 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Specific Coding for Unspecified fracture of shaft of tibia

Non-specific codes like S82.20 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for unspecified fracture of shaft of tibia:

  • NON-BILLABLE CODE - S82.201 for Unspecified fracture of shaft of right tibia
  • BILLABLE CODE - Use S82.201A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.201B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.201C for or IIIC
  • BILLABLE CODE - Use S82.201D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.201E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.201F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.201G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.201H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.201J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.201K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.201M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.201N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.201P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.201Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.201R for or IIIC with malunion
  • BILLABLE CODE - Use S82.201S for sequela
  • NON-BILLABLE CODE - S82.202 for Unspecified fracture of shaft of left tibia
  • BILLABLE CODE - Use S82.202A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.202B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.202C for or IIIC
  • BILLABLE CODE - Use S82.202D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.202E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.202F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.202G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.202H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.202J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.202K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.202M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.202N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.202P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.202Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.202R for or IIIC with malunion
  • BILLABLE CODE - Use S82.202S for sequela
  • NON-BILLABLE CODE - S82.209 for Unspecified fracture of shaft of unspecified tibia
  • BILLABLE CODE - Use S82.209A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.209B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.209C for or IIIC
  • BILLABLE CODE - Use S82.209D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.209E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.209F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.209G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.209H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.209J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.209K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.209M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.209N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.209P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.209Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.209R for or IIIC with malunion
  • BILLABLE CODE - Use S82.209S for sequela

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code S82.20:


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.

Entries in the Index to Diseases and Injuries with references to S82.20

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code S82.20 are found in the index:

Information for Patients


Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Leg Injuries and Disorders

Your legs are made up of bones, blood vessels, muscles, and other connective tissue. They are important for motion and standing. Playing sports, running, falling, or having an accident can damage your legs. Common leg injuries include sprains and strains, joint dislocations, and fractures (broken bones).

These injuries can affect the entire leg, or just the foot, ankle, knee, or hip. Certain diseases also lead to leg problems. For example, knee osteoarthritis, common in older people, can cause pain and limited motion. Problems in your veins in your legs can lead to varicose veins or deep vein thrombosis.


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)