Tibia Fracture ICD-10-CM Codes
Read this short guide and learn about tibia fracture ICD codes you can use. Learn billing and clinical information.
Fact Checked by Nate Lacson.
What ICD-10 Codes are Used for Tibia Fracture
Here are six tibia fracture ICD codes you cau use for billing and coding:
- M84.361A - Stress fracture, right tibia, initial encounter for fracture
This ICD-10 code is meant to be used on a patient confirmed to have a stress fracture of their right tibia.
- M84.362A - Stress fracture, left tibia, initial encounter for fracture
This ICD-10 code is meant to be used on a patient confirmed to have a stress fracture of their left tibia.
- M84.369A - Stress fracture, unspecified tibia and fibula, initial encounter for fracture
This ICD-10 code is meant to be used on a patient confirmed to have a stress fracture of their tibia and/or fibula, but it’s unconfirmed which side is fractured.
- M84.461A - Pathological fracture, right tibia, initial encounter for fracture
This ICD-10 code is meant to be used on a patient confirmed to have a pathological fracture of their right tibia.
- M84.462A - Pathological fracture, left tibia, initial encounter for fracture
This ICD-10 code is meant to be used on a patient confirmed to have a pathological fracture of their left tibia.
- M84.469A - Pathological fracture, unspecified tibia and fibula, initial encounter for fracture
This ICD-10 code is meant to be used on a patient confirmed to have a pathological fracture of their tibia and/or fibula, but it’s unspecified as to which side is fractured.
Are these tibia fracture ICD codes billable?
Yes. The tibia fracture-related ICD-10 codes we listed above are valid and billable.
Clinical information
- The tibia, commonly called the shinbone, is one of the most frequently fractured bones in the body.
- Tibia fractures can occur from various incidents, including falls, car accidents, sports injuries, or stress from overuse.
- Symptoms of a tibia fracture may include intense pain, inability to move or bear weight on the leg, visible deformity, and swelling.
- Treatment often involves immobilization with a cast or brace, but surgery may be required in severe cases to realign and stabilize the bone.
- Physical therapy is typically necessary after a tibia fracture to restore normal leg function and strength.
- Complications can arise from tibia fractures, including infection, nerve damage, or the development of a nonunion where the fracture fails to heal.
- Prevention strategies include wearing appropriate protective gear during sports activities, maintaining bone health through a balanced diet and regular exercise, and promoting a safe environment to avoid falls and accidents.
Synonyms include:
- Stress fracture of right tibia
- Stress fracture of left tibia
- Stress fracture of tibia
- Stress fracture of tibia and fibula
- Pathological fracture of right tibia
- Pathological fracture of left tibia
- Pathological fracture of tibia
Commonly asked questions
Yes, but we don’t recommend using them because they are invalid.
Imaging tests like X-rays, MRIs, and CT scans should be able to confirm the fracture.
It’s likely that surgery will be required. Surgery will be the best bet to realign and correct the tibia. It’ll also need to be immobilized so it can heal.
