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v1.0.0
ICD-10 Guide
ICD-10 CodesS82.151

S82.151

Billable

Displaced fracture of right tibial tuberosity

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

Code Description

ICD-10 S82.151 is a billable code used to indicate a diagnosis of displaced fracture of right tibial tuberosity.

Key Diagnostic Point:

A displaced fracture of the tibial tuberosity is a common injury, particularly in adolescents and young adults, often resulting from a direct blow to the knee or a fall. The tibial tuberosity is the bony prominence on the anterior aspect of the tibia where the patellar tendon attaches. This fracture can lead to significant pain, swelling, and functional impairment of the knee joint. Patients may present with difficulty in extending the knee, tenderness over the tuberosity, and visible deformity in severe cases. Diagnosis is typically confirmed through radiographic imaging, which reveals the fracture's displacement. Treatment often involves immobilization, pain management, and in some cases, surgical intervention to realign and stabilize the fracture. Rehabilitation is crucial for restoring function and strength, particularly in young athletes who may be eager to return to sports. Complications can include nonunion, malunion, and knee instability if not properly managed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and their implications for treatment.
  • Documentation must specify the displacement and location of the fracture.
  • Differentiation from similar knee injuries and fractures is necessary.
  • Potential for surgical intervention adds complexity to coding.

Audit Risk Factors

  • Inadequate documentation of the fracture type and displacement.
  • Failure to document associated injuries or complications.
  • Misclassification of the fracture location.
  • Lack of imaging reports to support the diagnosis.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes if surgery is performed, including type of fixation used.

Common Clinical Scenarios

Surgical repair of displaced fractures, management of complications like nonunion.

Billing Considerations

Ensure that all imaging studies are documented and correlate with the surgical findings.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient response.

Common Clinical Scenarios

Post-operative rehabilitation following fracture repair.

Billing Considerations

Document functional assessments and goals to support therapy claims.

Coding Guidelines

Inclusion Criteria

Use S82.151 When
  • Follow the official ICD
  • CM coding guidelines for fractures, including the need for specificity in the location and type of fracture
  • Ensure that documentation supports the diagnosis and treatment plan, and adhere to guidelines for coding multiple injuries if applicable

Exclusion Criteria

Do NOT use S82.151 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of tibial tuberosity fracture

Clinical Scenario

Used when surgical intervention is required for fracture stabilization.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding of the procedure performed.

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 the ability to denote displacement and specific locations, which enhances the accuracy of patient records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to denote displacement and specific locations, which enhances the accuracy of patient records and billing.

Reimbursement & Billing Impact

billing.

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 significance of the tibial tuberosity?

The tibial tuberosity is important for knee function as it serves as the attachment point for the patellar tendon, which is crucial for knee extension.