ICD-10-CM Billable Code

S82.24

Spiral fracture of shaft of tibia

Clinical Classification Guidelines

Inclusion Terms

  • Toddler fracture

Medical Intelligence & Overview

A spiral fracture of the shaft of the tibia is a type of bone injury where the bone is twisted apart along its length, creating a spiral-shaped break. Commonly seen in young children, particularly toddlers, this injury can occur from twisting motions or trauma. It is important to recognize this fracture early for proper treatment and recovery, especially considering the vulnerability of young bones.

Causes & Symptoms

Clinical Causes: Falls, especially when twisting the leg during a fall Direct blow or trauma to the tibia Twisting injuries during play or accidents In some cases, non-accidental injury or abuse may be considered, especially in very young children Toddler fractures, which are spiral fractures seen in children aged 9 months to 3 years, often occur with minimal trauma

Key Symptoms: Pain along the shin or lower leg Swelling and tenderness around the fracture site Bruising may be present Difficulty walking or refusing to bear weight on the affected leg Possible deformity if the fracture is displaced In some cases, the child may cry or resist movement due to discomfort

Diagnostic & Treatment

Diagnosis Path: Diagnosing a spiral fracture of the tibia involves a physical examination to assess swelling, tenderness, and deformity. Imaging studies, primarily X-rays, are essential to confirm the presence, location, and extent of the fracture. In young children, care is taken to minimize exposure to radiation while ensuring accurate diagnosis. Additional imaging may be necessary if the fracture is suspected but not visible on initial X-rays.

Treatment Protocols: Treatment approaches focus on stabilizing the fracture and ensuring proper healing. Common strategies include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S82.24 a billable ICD-10 code?
Yes, S82.24 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S82.24?
Clinical documentation must specify the nature of Spiral fracture of shaft of tibia and any associated comorbidities for accurate reporting.

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