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ICD-10 Guide
ICD-10 CodesS82.192

S82.192

Billable

Other fracture of upper end of left tibia

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

Code Description

ICD-10 S82.192 is a billable code used to indicate a diagnosis of other fracture of upper end of left tibia.

Key Diagnostic Point:

The S82.192 code refers to a specific type of fracture occurring at the upper end of the left tibia, which is the larger of the two bones in the lower leg. This type of fracture can result from various mechanisms, including trauma from falls, sports injuries, or vehicular accidents. Clinically, fractures at this location can lead to significant knee instability, pain, and impaired mobility. The upper end of the tibia is crucial for weight-bearing and knee joint function, making these fractures particularly concerning. Patients may present with swelling, bruising, and difficulty bearing weight on the affected leg. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of the fracture and any associated soft tissue injuries, including ligament tears. Treatment may vary from conservative management with immobilization to surgical intervention, depending on the fracture's complexity and the patient's overall health. Rehabilitation is often necessary to restore function and strength to the knee joint following healing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and associated injuries
  • Need for precise documentation of fracture details
  • Potential for co-existing ligament injuries
  • Differentiation from similar fracture codes

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries (e.g., ligament tears)
  • Incorrect laterality coding
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and post-operative care plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of fracture classification and any associated soft tissue injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient response.

Common Clinical Scenarios

Post-operative rehabilitation following tibial fracture repair.

Billing Considerations

Document functional assessments and progress towards mobility goals.

Coding Guidelines

Inclusion Criteria

Use S82.192 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of fracture type, laterality, and any associated injuries
  • Include details on treatment and follow
  • up care

Exclusion Criteria

Do NOT use S82.192 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of tibial fracture

Clinical Scenario

Used for surgical fixation of the left tibial fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons should ensure accurate coding based on the surgical approach.

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 data collection and reimbursement processes. S82.192 provides a clear distinction for fractures at the upper end of the left tibia, enhancing clinical documentation and care planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.192 provides a clear distinction for fractures at the upper end of the left tibia, enhancing clinical documentation and care planning.

Reimbursement & Billing Impact

reimbursement processes. S82.192 provides a clear distinction for fractures at the upper end of the left tibia, enhancing clinical documentation and care 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 accurately coding S82.192?

Accurate coding of S82.192 is crucial for proper reimbursement, tracking of injury patterns, and ensuring appropriate treatment protocols are followed for patients with tibial fractures.