Other fracture of upper end of tibia
ICD-10 S82.19 is a billable code used to indicate a diagnosis of other fracture of upper end of tibia.
The S82.19 code refers to fractures occurring at the upper end of the tibia, which is a critical area for knee function and stability. These fractures can result from various mechanisms, including high-energy trauma such as falls or vehicular accidents, or low-energy injuries in osteoporotic patients. The upper end of the tibia includes the tibial plateau, which is essential for weight-bearing and knee joint stability. Fractures in this region can lead to complications such as joint instability, post-traumatic arthritis, and impaired mobility. Treatment often involves orthopedic intervention, which may include surgical fixation or reconstruction, particularly if associated with ligament injuries such as tears of the anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL). Accurate coding is crucial for appropriate management and reimbursement, as these injuries often require comprehensive rehabilitation and follow-up care.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Fractures resulting from sports injuries, falls, or vehicular accidents requiring surgical intervention.
Documentation must clearly indicate the type of fracture, any associated ligament injuries, and the surgical approach taken.
Comprehensive rehabilitation plans and progress notes are necessary to support the need for ongoing therapy.
Patients recovering from tibial plateau fractures requiring physical therapy for mobility restoration.
Documentation should reflect the functional limitations and rehabilitation goals specific to the patient's recovery.
Used in conjunction with S82.19 when a meniscus tear is present.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the relationship between the fracture and any meniscal injuries.
Upper tibia fractures commonly occur due to high-energy trauma such as falls, sports injuries, or vehicular accidents. Low-energy fractures can also occur in older adults with osteoporosis.
An open fracture involves a break in the skin, exposing the bone, while a closed fracture does not. Documentation should specify the type of fracture for accurate coding.
