ICD-10 Coding for Left Tibia and Fibula Fracture(S82.252A, S82.452A)
Complete ICD-10-CM coding and documentation guide for Left Tibia and Fibula Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Tibia and Fibula Fracture
S82.2-S82.9Primary Range
Fractures of lower leg, including tibia and fibula
This range includes specific codes for fractures of the tibia and fibula, detailing laterality and fracture type.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S82.252A | Displaced transverse fracture of shaft of left tibia, initial encounter for closed fracture | Use for initial encounter of a displaced transverse fracture of the left tibial shaft. |
|
| S82.452A | Displaced comminuted fracture of shaft of left tibia, initial encounter | Use for initial encounter of a displaced comminuted fracture of the left tibial shaft. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for left tib fib fracture
Essential facts and insights about Left Tibia and Fibula Fracture
Primary ICD-10-CM Codes for left tib fib fracture
Decision Criteria
clinical Criteria
- Presence of a displaced transverse fracture on imaging
Applicable To
- Transverse fracture of left tibial shaft
Excludes
- Fracture of medial malleolus
Clinical Validation Requirements
- X-ray showing transverse fracture line with displacement
Code-Specific Risks
- Ensure documentation specifies displacement and laterality.
Coding Notes
- Ensure to document the encounter type and laterality.
S82.452A - Displaced comminuted fracture of shaft of left tibia, initial encounter
Use for initial encounter of a displaced comminuted fracture of the left tibial shaft.
Applicable To
- Comminuted fracture of left tibial shaft
Excludes
- Fracture of medial malleolus
Clinical Validation Requirements
- X-ray showing comminuted fracture with multiple fragments
Coding Notes
Document the fracture type and associated injuries.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Tibia and Fibula Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.252A.
Impact
Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document the side of the body affected., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement errors., Compliance: Potential audit issues due to incorrect coding., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify fracture location on imaging and use appropriate shaft fracture code.
Impact
High risk of audits due to frequent errors in fracture type and laterality documentation.
Mitigation Strategy
Implement regular training and audits of documentation practices.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Left Tibia and Fibula Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Tibia and Fibula Fracture
Use these documentation templates to ensure complete and accurate documentation for Left Tibia and Fibula Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for displaced tibial shaft fracture
Specialty: OrthopedicsRequired Elements
- Fracture type
- Displacement status
- Associated injuries
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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