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ICD-10 Guide
ICD-10 CodesS82.133

S82.133

Billable

Displaced fracture of medial condyle of unspecified tibia

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

Code Description

ICD-10 S82.133 is a billable code used to indicate a diagnosis of displaced fracture of medial condyle of unspecified tibia.

Key Diagnostic Point:

A displaced fracture of the medial condyle of the tibia refers to a break in the bone that occurs at the knee joint, specifically on the inner side of the tibia, which is the larger of the two bones in the lower leg. This type of fracture is often the result of high-impact trauma, such as a fall or a sports-related injury. The displacement indicates that the fracture fragments have moved out of their normal alignment, which can lead to complications such as joint instability, malunion, or nonunion if not properly treated. Symptoms typically include severe 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 also assess any associated soft tissue injuries, including ligament tears. Treatment often involves immobilization, pain management, and in some cases, surgical intervention to realign the bone fragments and stabilize the joint. Rehabilitation is crucial for restoring function and strength to the knee post-injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and non-displaced fractures
  • Identifying the specific location of the fracture within the tibia
  • Understanding associated injuries to ligaments and cartilage
  • Navigating the nuances of coding for unspecified locations

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated ligament injuries
  • Incorrect coding of unspecified location when specific details are available
  • Lack of imaging reports to support the diagnosis

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

Ensure that all associated injuries, such as ligament tears, are documented to support additional coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation progress.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of tibial fractures.

Billing Considerations

Documenting the patient's functional status and response to therapy is crucial for coding.

Coding Guidelines

Inclusion Criteria

Use S82.133 When
  • According to ICD
  • 10 coding guidelines, fractures should be coded based on the specific site, type, and laterality
  • The use of additional codes for associated injuries, such as ligament tears, is encouraged to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use S82.133 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 performed and any complications.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and any associated injuries.

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 ability to capture the complexity of injuries like S82.133. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the ability to capture the complexity of injuries like S82.133. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

reimbursement and compliance.

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 have moved out of alignment, while a non-displaced fracture means the bone remains in its normal position despite the break.