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ICD-10 Guide
ICD-10 CodesS82.111

S82.111

Billable

Displaced fracture of right tibial spine

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

Code Description

ICD-10 S82.111 is a billable code used to indicate a diagnosis of displaced fracture of right tibial spine.

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and their implications on knee stability.
  • Involves potential co-occurring ligament injuries that may complicate coding.
  • Documentation must specify the degree of displacement and associated injuries.
  • Differentiation from non-displaced fractures and other knee injuries is necessary.

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement.
  • Failure to document associated ligament injuries.
  • Incorrect coding of the fracture site or laterality.
  • Lack of clarity in treatment plans and follow-up care.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging results, and follow-up notes.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of fracture characteristics and any surgical interventions performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation progress.

Common Clinical Scenarios

Post-operative rehabilitation following tibial spine fractures.

Billing Considerations

Document the patient's functional status and rehabilitation goals clearly.

Coding Guidelines

Inclusion Criteria

Use S82.111 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's location, type, and laterality
  • Include any associated injuries or conditions that may impact treatment and recovery

Exclusion Criteria

Do NOT use S82.111 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Arthroscopy, knee, surgical; with meniscectomy (medial or lateral)

Clinical Scenario

Used in conjunction with S82.111 when surgical intervention is required for associated injuries.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery and any findings related to the fracture.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to denote laterality and displacement, which is crucial for accurate treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including the ability to denote laterality and displacement, which is crucial for accurate treatment planning 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 significance of coding S82.111 accurately?

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.