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ICD-10 Guide
ICD-10 CodesS82.134

S82.134

Billable

Nondisplaced fracture of medial condyle of right tibia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/26/2025

Code Description

ICD-10 S82.134 is a billable code used to indicate a diagnosis of nondisplaced fracture of medial condyle of right tibia.

Key Diagnostic Point:

A nondisplaced fracture of the medial condyle of the right tibia refers to a break in the bone that does not result in the bone fragments being misaligned. This type of fracture typically occurs due to trauma, such as a fall or direct impact to the knee area. The medial condyle is the inner part of the tibia that articulates with the femur and is crucial for knee stability and function. Patients may present with localized pain, swelling, and limited range of motion in the knee. Diagnosis is often confirmed through imaging studies such as X-rays or MRI, which can help assess the extent of the injury and rule out associated ligamentous injuries. Treatment usually involves conservative management, including rest, ice, compression, and elevation (RICE), along with physical therapy to restore function. In some cases, surgical intervention may be necessary if there are associated injuries or if conservative treatment fails. Understanding the implications of this fracture is essential for effective management and rehabilitation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding associated knee injuries (e.g., ligament tears)
  • Need for precise documentation of fracture location
  • Variability in treatment protocols based on patient age and activity level

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify laterality (right vs. left)
  • Misclassification of fracture type (displaced vs. nondisplaced)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, imaging results, and treatment plan.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

Ensure accurate documentation of any surgical interventions or rehabilitation plans.

Physical Therapy

Documentation Requirements

Progress notes detailing patient response to therapy and functional improvements.

Common Clinical Scenarios

Rehabilitation following a nondisplaced fracture and associated ligament injuries.

Billing Considerations

Document specific exercises and patient compliance to support billing.

Coding Guidelines

Inclusion Criteria

Use S82.134 When
  • Follow the official ICD
  • CM coding guidelines, ensuring to document the specific site of the fracture and any associated injuries
  • Include laterality and specify if the fracture is open or closed

Exclusion Criteria

Do NOT use S82.134 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Arthroscopy, knee, diagnostic, with or without synovial biopsy

Clinical Scenario

Used when assessing knee injuries, including fractures.

Documentation Requirements

Document the reason for the procedure and findings.

Specialty Considerations

Orthopedic surgeons should ensure that the procedure correlates with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and treatment plans. S82.134 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and treatment plans. S82.134 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment and reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments being misaligned.