Unspecified fracture of upper end of right tibia
ICD-10 S82.101 is a billable code used to indicate a diagnosis of unspecified fracture of upper end of right tibia.
An unspecified fracture of the upper end of the right tibia refers to a break in the bone located at the proximal end of the tibia, which is crucial for weight-bearing and mobility. This type of fracture often occurs due to high-impact trauma, such as falls or motor vehicle accidents, and can be associated with knee injuries, including ligament tears. The upper end of the tibia articulates with the femur and fibula, making it integral to knee stability and function. Symptoms typically include localized pain, swelling, and difficulty bearing weight on the affected leg. Diagnosis is confirmed through imaging studies, such as X-rays or MRI, which help assess the fracture's nature and any associated soft tissue injuries. Treatment may involve conservative management with immobilization or surgical intervention, depending on the fracture's complexity and the presence of additional injuries. Rehabilitation is essential for restoring function and strength to the knee joint following recovery.
Detailed descriptions of the fracture type, location, and any associated injuries must be documented, along with treatment plans.
Fractures resulting from sports injuries, falls, or accidents requiring surgical intervention.
Ensure accurate coding of any surgical procedures performed, including fixation methods and rehabilitation protocols.
Documentation of functional limitations, treatment goals, and progress notes related to rehabilitation.
Patients recovering from tibial fractures undergoing physical therapy to regain strength and mobility.
Document the specific exercises and modalities used to ensure proper linkage to the diagnosis.
Used when surgical intervention is required for fracture stabilization.
Operative reports detailing the procedure and any implants used.
Orthopedic surgeons must ensure accurate coding of the procedure in relation to the diagnosis.
S82.101 refers to an unspecified fracture of the upper end of the right tibia, while S82.102 refers to the same type of fracture on the left side. Accurate coding requires specifying the side of the injury.
