Displaced fracture of right tibial spine
ICD-10 S82.111 is a billable code used to indicate a diagnosis of displaced fracture of right tibial spine.
A displaced fracture of the right tibial spine refers to a break in the bony prominence at the top of the tibia, which is crucial for knee stability and function. This type of fracture often occurs due to high-impact trauma, such as a fall or sports-related injury, and can be associated with ligamentous injuries, particularly to the anterior cruciate ligament (ACL). Clinically, patients may present with knee swelling, pain, and limited range of motion. Diagnosis typically involves physical examination and imaging studies, such as X-rays or MRI, to assess the extent of the fracture and any associated soft tissue injuries. Treatment may vary from conservative management with immobilization to surgical intervention, including fixation or reconstruction, depending on the fracture's displacement and the patient's activity level. Rehabilitation is essential to restore function and strength to the knee joint post-injury.
Detailed operative reports, imaging results, and follow-up notes.
Fractures resulting from sports injuries, falls, or vehicular accidents.
Ensure accurate documentation of fracture characteristics and any surgical interventions performed.
Comprehensive assessments of functional limitations and rehabilitation progress.
Post-operative rehabilitation following tibial spine fractures.
Document the patient's functional status and rehabilitation goals clearly.
Used in conjunction with S82.111 when surgical intervention is required for associated injuries.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the rationale for surgery and any findings related to the fracture.
Accurate coding of S82.111 is essential for proper treatment planning, reimbursement, and tracking of injury trends. It ensures that patients receive appropriate care and that healthcare providers are compensated for their services.