S82.256B
ICD-10-CMNondisplaced comminuted fracture of shaft of unspecified tibia, initial encounter for open fracture type I or II
This code describes a fracture of the main part of the shin bone (tibia) that has broken into multiple pieces but remains in its normal anatomical position. The skin over the fracture is broken, but the wound is relatively clean and small (Type I or II open fracture). This code is used for the initial treatment of the injury.
This code is appropriate for documenting the initial encounter for a patient presenting with a comminuted tibial shaft fracture where the bone fragments are not displaced. It specifically applies when the fracture is open, with the wound classified as Gustilo-Anderson Type I or II, and the laterality (left or right tibia) is not specified in the medical record.
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