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ICD-10 Guide
ICD-10 CodesS82.153

S82.153

Billable

Displaced fracture of unspecified tibial tuberosity

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

Code Description

ICD-10 S82.153 is a billable code used to indicate a diagnosis of displaced fracture of unspecified 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 trauma such as falls or sports-related injuries. The tibial tuberosity is the bony prominence on the anterior aspect of the tibia where the patellar tendon attaches. Displacement of this fracture can lead to complications such as malunion or nonunion, which may require surgical intervention. Symptoms typically include localized pain, swelling, and difficulty in knee extension. Diagnosis is confirmed through imaging studies, such as X-rays or MRI, which help assess the extent of the fracture and any associated soft tissue injuries. Treatment options may vary from conservative management with immobilization and physical therapy to surgical fixation in cases of significant displacement. Understanding the implications of this fracture is crucial for effective rehabilitation and return to activity, especially in athletes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture displacement and associated soft tissue injuries
  • Need for precise documentation of fracture type and location
  • Potential for surgical intervention affecting coding
  • Differentiation from similar knee injuries and fractures

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to capture associated injuries or procedures
  • Misclassification of fracture type (displaced vs. non-displaced)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and follow-up assessments are essential.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or direct trauma.

Billing Considerations

Ensure clarity on the type of fracture and any surgical interventions performed.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient responses.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of the fracture.

Billing Considerations

Document functional limitations and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S82.153 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's displacement and any associated injuries
  • Include details on the mechanism of injury and treatment plan

Exclusion Criteria

Do NOT use S82.153 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Open treatment of tibial tuberosity fracture

Clinical Scenario

Used when surgical intervention is performed for a displaced tibial tuberosity fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

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, 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 significance of the tibial tuberosity in knee injuries?

The tibial tuberosity is crucial for knee stability and function, and fractures in this area can lead to significant mobility issues and require careful management.