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ICD-10 Guide
ICD-10 CodesS82.115

S82.115

Billable

Nondisplaced fracture of left tibial spine

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

Code Description

ICD-10 S82.115 is a billable code used to indicate a diagnosis of nondisplaced fracture of left tibial spine.

Key Diagnostic Point:

A nondisplaced fracture of the left tibial spine refers to a break in the bone that does not result in the bone fragments being misaligned. This type of fracture typically occurs in the context of knee injuries, particularly in sports or activities that involve sudden stops or changes in direction. The tibial spine is a critical area for knee stability, as it serves as an attachment point for ligaments, including the anterior cruciate ligament (ACL). Patients may present with knee pain, swelling, and limited range of motion. Diagnosis is often 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, 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, as well as for accurate coding and billing.

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

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to document associated ligament injuries
  • Misclassification of fracture displacement
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on fracture type, imaging results, and treatment plan.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents.

Billing Considerations

Ensure clear documentation of any surgical procedures or interventions.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Rehabilitation following a tibial spine fracture.

Billing Considerations

Document functional limitations and goals for recovery.

Coding Guidelines

Inclusion Criteria

Use S82.115 When
  • Follow the official ICD
  • CM coding guidelines for fractures, ensuring accurate documentation of the fracture type and location
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S82.115 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 tibial spine fractures.

Documentation Requirements

Document indications for arthroscopy and findings.

Specialty Considerations

Orthopedic surgeons should ensure clear rationale for the procedure.

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 data collection and reimbursement processes. S82.115 provides a clear distinction for nondisplaced fractures, which aids in treatment planning and outcome tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.115 provides a clear distinction for nondisplaced fractures, which aids in treatment planning and outcome tracking.

Reimbursement & Billing Impact

reimbursement processes. S82.115 provides a clear distinction for nondisplaced fractures, which aids in treatment planning and outcome tracking.

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 misaligned, while a nondisplaced fracture means the bone remains in its normal position despite the break.