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ICD-10 Guide
ICD-10 CodesS82.14

S82.14

Billable

Bicondylar fracture of tibia

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

Code Description

ICD-10 S82.14 is a billable code used to indicate a diagnosis of bicondylar fracture of tibia.

Key Diagnostic Point:

A bicondylar fracture of the tibia is a complex injury that involves fractures of both the medial and lateral condyles of the tibia, typically occurring in the context of high-energy trauma such as motor vehicle accidents or falls from significant heights. This type of fracture is often associated with knee injuries, including ligament tears, particularly to the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). The injury can lead to instability in the knee joint, necessitating careful evaluation and management. Treatment may involve surgical intervention, such as open reduction and internal fixation (ORIF), to restore alignment and stability to the joint. Post-operative rehabilitation is crucial for restoring function and preventing complications such as stiffness or post-traumatic arthritis. Accurate coding of bicondylar fractures requires detailed documentation of the mechanism of injury, associated soft tissue injuries, and the specific surgical procedures performed, as these factors significantly influence treatment and recovery outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Involvement of multiple anatomical structures (both condyles of the tibia)
  • Potential for associated ligament injuries (ACL, PCL tears)
  • Variability in surgical management (ORIF, external fixation)
  • Need for detailed documentation of injury mechanism and treatment

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated ligament injuries
  • Lack of clarity on surgical procedures performed
  • Inconsistent coding of follow-up care or complications

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents requiring surgical intervention.

Billing Considerations

Ensure documentation reflects the complexity of the fracture and any associated injuries to support the surgical approach.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans, progress notes, and functional assessments.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of bicondylar fractures.

Billing Considerations

Document functional limitations and progress to justify therapy services and coding.

Coding Guidelines

Inclusion Criteria

Use S82.14 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on the treatment provided and any complications that arise

Exclusion Criteria

Do NOT use S82.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of tibial plateau fracture

Clinical Scenario

Used in conjunction with S82.14 for surgical management of bicondylar fractures.

Documentation Requirements

Operative report detailing the procedure, approach, and fixation method.

Specialty Considerations

Orthopedic surgeons must document the complexity 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 complex injuries like bicondylar fractures, improving the accuracy of claims and facilitating better patient management through detailed documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complex injuries like bicondylar fractures, improving the accuracy of claims and facilitating better patient management through detailed documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complex injuries like bicondylar fractures, improving the accuracy of claims and facilitating better patient management through detailed documentation.

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 primary treatment for a bicondylar fracture of the tibia?

The primary treatment typically involves surgical intervention, such as open reduction and internal fixation (ORIF), to stabilize the fracture and restore knee function.