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ICD-10 Guide
ICD-10 CodesS82.125

S82.125

Billable

Nondisplaced fracture of lateral condyle of left tibia

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

Code Description

ICD-10 S82.125 is a billable code used to indicate a diagnosis of nondisplaced fracture of lateral condyle of left tibia.

Key Diagnostic Point:

A nondisplaced fracture of the lateral condyle of the left tibia refers to a break in the bone that does not result in the bone fragments being misaligned. This type of fracture is often associated with knee injuries, particularly in athletes or individuals involved in high-impact activities. The lateral condyle is the outer part of the tibia that forms the knee joint with the femur and fibula. 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 assess the extent of the fracture and any associated soft tissue injuries, such as ligament tears. Treatment may involve conservative management with rest, ice, compression, and elevation (RICE), along with physical therapy, or surgical intervention if there are complications or if the fracture does not heal properly. Understanding the implications of this fracture is crucial for orthopedic specialists, as it can affect knee stability and function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding associated soft tissue injuries
  • Variability in treatment approaches
  • Need for precise documentation of fracture location

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries
  • Misclassification of fracture displacement
  • Inconsistent coding of treatment modalities

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes, and follow-up assessments are essential.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents.

Billing Considerations

Documentation must clearly indicate the nondisplaced nature of the fracture and any associated injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient responses.

Common Clinical Scenarios

Rehabilitation following a nondisplaced fracture to restore knee function.

Billing Considerations

Therapists should document functional limitations and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S82.125 When
  • According to ICD
  • 10 guidelines, S82
  • 125 should be used when the fracture is confirmed as nondisplaced and specifically located at the lateral condyle of the left tibia
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S82.125 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 associated with the fracture.

Documentation Requirements

Document indications for arthroscopy and findings.

Specialty Considerations

Orthopedic surgeons should ensure clear documentation of the need 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. S82.125 provides a clear distinction for nondisplaced fractures, which can impact treatment protocols and outcomes.

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. S82.125 provides a clear distinction for nondisplaced fractures, which can impact treatment protocols and outcomes.

Reimbursement & Billing Impact

reimbursement processes. S82.125 provides a clear distinction for nondisplaced fractures, which can impact treatment protocols and outcomes.

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 nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments being misaligned.