ICD 10 CM S82.29 | Description & Clinical Information

ICD 10 S82.29 describes a specific type of fracture that occurs in the central portion of the larger of the two lower leg bones, known as the tibia, resulting from trauma caused by various factors such as direct impact, motor vehicle accidents, and high-speed accidents involving motorcycles and snowmobiles, with or without displacement of the fracture fragments, and is more common in elderly individuals with osteoporosis or cancer, and this code is used when the provider specifies the nature or type of tibial fracture that is not named in any other codes in this category.

Official Description Of S82.29

The ICD 10 CM book defines ICD 10 code S82.29 as:

When To Use S82.29

The diagnosis of ICD 10 CM S82.29 refers to a fracture of the tibial shaft that is not otherwise specified. This type of injury can result in significant pain, swelling, tenderness, and bruising over the affected site. In severe cases, nerve and blood vessel damage can occur, leading to numbness and tingling down the lower leg and/or paleness and coolness of the foot.

When a patient presents with these symptoms, providers will assess their medical history and perform a physical examination focused on identifying any nerve, blood vessel, or soft tissue damage. Laboratory studies may be ordered to assess blood loss, blood clotting, muscle injury, and other factors related to or resulting from the injury. Imaging studies, such as X-rays or computed tomography, may also be performed to evaluate the extent of the fracture.

After the diagnosis has been confirmed, treatment options will be determined based on the severity of the fracture. Stable and closed fractures may only require a splint, brace, or cast to restrict limb movement, as they rarely require surgery. However, unstable displaced fractures may require open or closed reduction and fixation, which involves manipulating the bone fragments back into their proper position and holding them there with hardware such as pins, screws, or plates.

If an open wound is present or associated soft tissue or connective tissue injuries are suspected, surgery may be necessary to repair the damage. In more severe cases, compartment syndrome may be present, which requires a procedure called a fasciotomy to relieve pressure. This involves making an incision through the skin and covering over the muscle to access and relieve the pressure.

As patients recover from their injury, they may require pain management with narcotic analgesics or nonsteroidal anti-inflammatory drugs. Additionally, gradual weight-bearing and exercises to improve flexibility, strength, and range of motion may be prescribed.

In some cases, the provider may also suspect a pathologic fracture or damage to connective tissues such as ligaments and tendons. In these situations, magnetic resonance imaging or a bone scan may be used to confirm the diagnosis and assess the extent of the damage.

Overall, the diagnosis of ICD 10 CM S82.29 highlights the significant impact that a fracture of the tibial shaft can have on a patient’s life. However, with appropriate diagnosis and treatment, patients can make a full recovery and return to their normal activities over time.