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ICD-10 Guide
ICD-10 CodesS82.131

S82.131

Billable

Displaced fracture of medial condyle of right tibia

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

Code Description

ICD-10 S82.131 is a billable code used to indicate a diagnosis of displaced fracture of medial condyle of right tibia.

Key Diagnostic Point:

A displaced fracture of the medial condyle of the right tibia typically occurs due to high-impact trauma, such as falls or sports injuries. This type of fracture involves a break in the bone that has shifted from its normal alignment, which can lead to complications such as joint instability, malunion, or nonunion if not treated appropriately. The medial condyle is a critical area for weight-bearing and movement in the knee joint, and injuries here can significantly affect a patient's mobility and quality of life. Diagnosis is usually confirmed through imaging studies, such as X-rays or MRI, which help assess the extent of the fracture and any associated soft tissue injuries, including ligament tears. Treatment often involves orthopedic intervention, which may include surgical fixation to realign the bone fragments and restore stability to the knee joint. Rehabilitation is crucial for recovery, focusing on restoring range of motion and strength to prevent long-term complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and location
  • Differentiation between displaced and non-displaced fractures
  • Potential for associated ligament injuries requiring additional coding
  • Variability in treatment approaches impacting coding

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)
  • Misinterpretation of imaging results

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

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

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment plans, and patient responses.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of tibial fractures.

Billing Considerations

Therapy notes should correlate with the surgical procedure and demonstrate progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S82.131 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's location, type, and any associated injuries
  • Include details from imaging studies and surgical reports to support the coding

Exclusion Criteria

Do NOT use S82.131 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Open treatment of tibial plateau fracture

Clinical Scenario

Used when surgical intervention is required for fracture stabilization.

Documentation Requirements

Operative report detailing the procedure and any fixation devices used.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the surgical approach.

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 patient records and facilitating better treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and facilitating better treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and facilitating better treatment planning.

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 involves a break in the bone where the ends are not aligned, while a non-displaced fracture means the bone cracks but maintains its proper alignment.