Tibia Fracture ICD-10-CM Codes

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