S82.242A Displaced spiral fracture of shaft of left tibia, initial encounter for closed fracture

ICD-10-CM S82.242A: Displaced spiral fracture of shaft of left tibia, initial encounter for closed fracture

ICD-10-CM code S82.242A is an active terminology concept representing a displaced spiral fracture of the shaft of the left tibia during an initial encounter for a closed fracture. A Medicare billing article lists this code alongside variant S82.242B, while a clinical text notes tibial fracture identification during trauma assessment. 1 2 3

Plain-language overview

The preferred name for S82.242A identifies a specific injury involving the left tibia, and the terminology record classifies this condition as an Injury or Poisoning. 1

What this code represents

The terminology record classifies S82.242A with the semantic type of Injury or Poisoning and assigns it an active record status within the ICD-10-CM version 2026 system. 1

The code S82.242A is a narrower concept derived from the parent code S82.242, which denotes a displaced spiral fracture of the shaft of the left tibia without the encounter specification. 1

Coding details

The terminology record includes a published abbreviation for S82.242A, which shortens the preferred name to displaced spiral fracture of shaft of left tibia, init. 1

A Medicare billing and coding article explicitly lists code S82.242A and its variant S82.242B together within the same document text, showing both the initial encounter code and another variant. 3

Documentation considerations

The terminology record establishes the precise preferred name for S82.242A as displaced spiral fracture of shaft of left tibia, initial encounter for closed fracture, providing the exact text for coding reference. 1

Clinical context

A clinical reference text states that identifying associated bony fractures of the tibia is essential during the assessment of femoral shaft fractures because such findings alter patient treatment plans. 2

What the sources add

While the terminology record defines the code's structural hierarchy and semantic type, the Medicare article provides operational context by listing S82.242A alongside variant S82.242B within a billing document. 1 3

Sources

1. ICD-10-CM S82.242A terminology record — National Cancer Institute Enterprise Vocabulary Services; accessed 2026-07-27.
2. Bookshelf — ncbi.nlm.nih.gov; accessed 2026-07-27.
3. Article - Billing and Coding: Total Knee Arthroplasty (A57686) — cms.gov; accessed 2026-07-27.