ICD 10 CM S82.222G | Description & Clinical Information

ICD 10 S82.222G describes a type of fracture in the left tibia where the long central portion of the larger of the two lower leg bones is broken horizontally or diagonally, resulting in a loss of alignment of the fracture fragments, typically caused by trauma from incidents such as a direct blow to the tibia, being hit by a motor vehicle, or high-speed accidents involving motorcycles and snowmobiles, with the risk of fracture increasing in the elderly due to thinning of the bones and cancer, and this code is used for a subsequent encounter for delayed healing of a closed fracture that was not exposed through a tear or laceration in the skin.

Official Description Of S82.222G

The ICD 10 CM book defines ICD 10 code S82.222G as:

Displaced transverse fracture of shaft of left tibia, subsequent encounter for closed fracture with delayed healing
Parent Code Notes: S82

Includes: fracture of malleolus

Excludes1: traumatic amputation of lower leg (S88.-)

Excludes2: fracture of foot, except ankle (S92.-)
periprosthetic fracture around internal prosthetic implant of knee joint (M97.1-)

When To Use S82.222G

The diagnosis describes by the ICD 10 CM S82.222G code is a very specific type of fracture that affects the left tibia. This type of injury can be caused by a variety of factors, including falls, sports injuries, or car accidents. The symptoms of this fracture can be quite severe and include pain, swelling, tenderness, and bruising around the affected area. Additionally, nerve and blood vessel damage can lead to further complications such as numbness and tingling, or paleness and coolness in the foot. Medical providers utilize various diagnostic measures to identify the extent and nature of damage caused by this fracture.

Initial assessment is usually based on the patient’s history of injury followed by a thorough examination, with particular attention paid to nerves, blood vessels and soft tissues. Laboratory studies such as blood loss, blood clotting, muscle injury etc. are also conducted to assess various parameters that contribute to or are caused by the injury. Providers also use imaging studies., such as x-rays, computed tomography scans, or magnetic resonance imaging to evaluate the degree of damage and assess the severity of the injury. In some cases, additional diagnostic imaging studies may be recommended to confirm or rule out other underlying conditions.

Treatment options for this type of fracture depend on several factors, including the severity of the injury, the extent of damage to the soft tissues and/or connective tissues, and whether the fracture is stable or unstable. Stable fractures, where the bone is still aligned, and there is little soft tissue damage, can often be treated by immobilizing the affected limb with casts, braces, or splints. Unstable and displaced fractures, where the bone has shifted and there may be significant soft tissue damage, usually require surgery to realign and stabilize the bone.

In some cases, open wounds and associated soft tissue or connective tissue injuries require surgery to repair the damage. Additionally, compartment syndrome, which occurs when pressure within the muscles increases, leading to decreased blood and oxygen flow, can be a serious complication of this type of fracture. Treatment typically involves an emergency procedure called fasciotomy which incises the skin and muscles over the site to relieve pressure.

Pain management is necessary and typically includes the administration of narcotic analgesics for severe pain and/or nonsteroidal anti-inflammatory drugs for less severe pain to alleviate symptoms. Once healing has progressed, gradual weight-bearing and exercises are recommended to improve flexibility, strength, and range of motion. It is important to note that the course of treatment will vary based on the severity of the injury and the individual patient’s needs.

In conclusion, the ICD 10 CM S82.222G diagnosis code describes a specific type of fracture that commonly affects the left tibia. Medical providers use a variety of diagnostic measures to assess the extent of damage and severity of the injury. Treatment options depend on the severity and nature of the injury but may include immobilization, surgery, medication, and physical therapy. Early intervention and appropriate management is crucial for patients suffering from this type of fracture to ensure optimal recovery and minimize long-term effects.

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