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ICD-10 Guide
ICD-10 CodesS82.121

S82.121

Billable

Displaced fracture of lateral condyle of right tibia

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

Code Description

ICD-10 S82.121 is a billable code used to indicate a diagnosis of displaced fracture of lateral condyle of right tibia.

Key Diagnostic Point:

A displaced fracture of the lateral condyle of the right tibia is a specific type of fracture that occurs in the knee region, particularly affecting the outer part of the tibia where it articulates with the femur. This injury is often the result of trauma, such as a fall or a direct blow to the knee, and can lead to significant complications if not properly diagnosed and treated. The lateral condyle is crucial for knee stability and function, and a fracture here can disrupt the normal biomechanics of the knee joint. Symptoms typically include localized pain, swelling, and difficulty bearing weight on the affected leg. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI, which can reveal the extent of the fracture and any associated soft tissue injuries, including ligament tears. Treatment may involve conservative management with immobilization or surgical intervention to realign the bone fragments and stabilize the joint, depending on the severity of the displacement. Rehabilitation is essential to restore function and prevent long-term complications such as osteoarthritis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires precise documentation of fracture type and location.
  • Differentiation from non-displaced fractures and other knee injuries.
  • Potential for associated ligament injuries complicating treatment.
  • Variability in treatment approaches (surgical vs. conservative).

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement.
  • Failure to document associated injuries (e.g., ligament tears).
  • Incorrect coding of laterality (right vs. left).
  • Lack of clarity in treatment plans (surgical vs. conservative).

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fractures due to sports injuries, falls, or vehicular accidents.

Billing Considerations

Documentation must clearly indicate the type of fracture and any surgical interventions performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans and progress notes.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of the fracture.

Billing Considerations

Focus on functional outcomes and any complications during recovery.

Coding Guidelines

Inclusion Criteria

Use S82.121 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of fracture type, laterality, and any associated injuries
  • Include details on treatment plans and follow
  • up care

Exclusion Criteria

Do NOT use S82.121 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Open treatment of tibial condyle fracture

Clinical Scenario

Used when surgical intervention is required for displaced fractures.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and any fixation methods used.

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 laterality and displacement, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and displacement, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and displacement, which enhances the accuracy of patient records and treatment plans.

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 non-displaced fracture?

A displaced fracture means that the bone fragments are not aligned properly, while a non-displaced fracture indicates that the bone remains in its normal position despite the fracture.