What is the correct report code for an open fracture of the tibial shaft, upper section, left side for a 16-year-old male?

The correct report code for an open fracture of the tibial shaft, upper section, left side for a 16-year-old male is S82.202B. This code is derived from the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM).

In ICD-10-CM coding, the S82 code series is specifically utilized for fractures of the tibia and fibula, indicating the site and nature of the fracture. The first part of the code (S82.2) identifies the type of fracture, while additional digits specify the exact location, the side of the body affected (in this case, the left side), and the detail regarding whether the fracture is open or closed. The "B" at the end denotes the episode of care, signaling that this is an active encounter for the open fracture.

Understanding the coding structure is important because it ensures accurate diagnosis reporting, which is critical for treatment and reimbursement purposes. The other options pertain to different classifications that do not accurately match the specified fracture type and details in the question. For instance, C41.4 relates to malignant neoplasm of the connective and soft tissue, while 12042 pertains to surgical procedures, and 99455 refers