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ICD-10 Guide
ICD-10 CodesS82.155

S82.155

Billable

Nondisplaced fracture of left tibial tuberosity

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

Code Description

ICD-10 S82.155 is a billable code used to indicate a diagnosis of nondisplaced fracture of left tibial tuberosity.

Key Diagnostic Point:

A nondisplaced fracture of the left tibial tuberosity is a type of injury that occurs at the bony prominence located just below the knee joint, where the patellar tendon attaches to the tibia. This injury is commonly seen in adolescents and young adults, particularly in those involved in sports that require jumping or running. The fracture is characterized by a break in the bone that does not result in the bone fragments moving out of alignment. Symptoms typically include localized pain, swelling, and tenderness at the site of the fracture, along with difficulty in knee extension. Diagnosis is usually confirmed through physical examination and imaging studies such as X-rays. Treatment often involves conservative management, including rest, ice, compression, and elevation (RICE), along with immobilization in a brace or cast. In some cases, physical therapy may be recommended to restore strength and range of motion. Surgical intervention is rarely required unless there are complications or associated injuries. Understanding the implications of this fracture is crucial for effective management and rehabilitation, as it can impact the patient's ability to return to sports and daily activities.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical location and implications of the tibial tuberosity
  • Potential for associated ligament injuries or other knee pathologies
  • Variability in treatment approaches based on patient age and activity level

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the laterality of the fracture
  • Lack of imaging reports to support the diagnosis
  • Misclassification of fracture type (displaced vs. nondisplaced)

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, physical examination findings, imaging results, and treatment plan.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or direct trauma to the knee.

Billing Considerations

Ensure accurate documentation of any associated injuries, such as ligament tears or meniscal damage.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises, patient response, and functional outcomes.

Common Clinical Scenarios

Rehabilitation following a tibial tuberosity fracture, focusing on restoring knee function.

Billing Considerations

Document any limitations in range of motion or strength to support ongoing therapy needs.

Coding Guidelines

Inclusion Criteria

Use S82.155 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the fracture is confirmed and documented
  • Include any relevant external cause codes if applicable
  • Ensure that the laterality is specified

Exclusion Criteria

Do NOT use S82.155 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used when aspiration of knee joint fluid is necessary due to swelling.

Documentation Requirements

Document the reason for aspiration and findings during the procedure.

Specialty Considerations

Orthopedic specialists should ensure that the procedure is justified based on clinical findings.

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 laterality and displacement status, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and displacement status, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and displacement status, which enhances the accuracy of patient records and treatment plans.

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 nondisplaced fracture of the tibial tuberosity?

The primary treatment typically involves conservative management, including rest, ice, compression, elevation, and possibly immobilization with a brace or cast. Physical therapy may be initiated once the initial pain and swelling subside.