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ICD-10 Guide
ICD-10 CodesS82.114

S82.114

Billable

Nondisplaced fracture of right tibial spine

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

Code Description

ICD-10 S82.114 is a billable code used to indicate a diagnosis of nondisplaced fracture of right tibial spine.

Key Diagnostic Point:

A nondisplaced fracture of the right tibial spine refers to a break in the bony prominence at the top of the tibia, where the ligaments of the knee attach. This type of fracture is characterized by the absence of displacement, meaning the bone fragments remain in their normal anatomical position. Such fractures are often the result of direct trauma or excessive force applied to the knee, commonly seen in sports injuries or falls. Symptoms typically include localized pain, swelling, and limited range of motion in the knee joint. Diagnosis is confirmed through imaging studies, such as X-rays or MRI, which can also help assess any associated ligament injuries. Treatment usually involves conservative management, including rest, ice, compression, elevation (RICE), and possibly physical therapy to restore function. In some cases, surgical intervention may be necessary if there are associated injuries or if conservative treatment fails to provide relief. Understanding the implications of this fracture is crucial for effective management and rehabilitation, as it can significantly impact knee stability and function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Identifying associated ligament injuries
  • Understanding the implications of knee joint stability
  • Variability in treatment approaches based on patient age and activity level

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to note associated ligament injuries
  • Lack of imaging reports in the medical record
  • Inconsistent coding of follow-up visits

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the fracture, imaging results, and treatment plans.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents.

Billing Considerations

Ensure accurate documentation of any surgical procedures or interventions performed.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Rehabilitation following a nondisplaced tibial spine fracture.

Billing Considerations

Document functional limitations and improvements to support ongoing therapy.

Coding Guidelines

Inclusion Criteria

Use S82.114 When
  • According to ICD
  • 10 guidelines, S82
  • 114 should be used when the fracture is confirmed as nondisplaced and specifically located at the right tibial spine
  • Documentation must clearly indicate the fracture type and any associated injuries

Exclusion Criteria

Do NOT use S82.114 When
  • Exclusion criteria include fractures that are displaced or involve other parts of the tibia or fibula

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 tibial spine fractures.

Documentation Requirements

Document indications for arthroscopy and findings.

Specialty Considerations

Orthopedic surgeons should ensure clear documentation of the procedure and findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced fractures of the tibial spine. This specificity aids in better tracking of injury patterns and treatment outcomes, ultimately improving patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced fractures of the tibial spine. This specificity aids in better tracking of injury patterns and treatment outcomes, ultimately improving patient care.

Reimbursement & Billing Impact

reimbursement and to avoid denials.

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 displaced and nondisplaced fracture?

A displaced fracture involves a break where the bone fragments are out of alignment, while a nondisplaced fracture means the bone remains in its normal position despite the break.