Nondisplaced fracture of unspecified tibial spine
ICD-10 S82.116 is a billable code used to indicate a diagnosis of nondisplaced fracture of unspecified tibial spine.
A nondisplaced fracture of the tibial spine refers to a break in the bone that does not result in the bone fragments being misaligned. The tibial spine is a critical area located at the proximal end of the tibia, where the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) attach. This type of fracture is often associated with knee injuries, particularly in athletes or individuals involved in high-impact sports. Symptoms typically include localized pain, swelling, and limited range of motion in the knee. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI, which can help visualize the fracture and assess any associated ligamentous injuries. Treatment may involve 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 concurrent ligament tears or if the fracture does not heal properly. Understanding the implications of this fracture is crucial for effective management and rehabilitation, as it can significantly impact knee stability and function.
Detailed imaging reports, surgical notes, and follow-up assessments are essential for accurate coding.
Fractures resulting from sports injuries, falls, or trauma requiring surgical intervention.
Documentation must clearly differentiate between nondisplaced and displaced fractures, as well as any associated ligament injuries.
Progress notes detailing rehabilitation exercises, patient response, and functional outcomes.
Rehabilitation following a tibial spine fracture, focusing on restoring knee function and strength.
Therapists should document the specific limitations caused by the fracture to support the need for therapy.
Used when surgical intervention is required for associated ligament injuries.
Surgical notes must detail the procedure performed and the findings.
Orthopedic surgeons must document the rationale for surgery and any associated findings.
A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments being misaligned.
