Unspecified fracture of upper end of tibia
ICD-10 S82.10 is a billable code used to indicate a diagnosis of unspecified fracture of upper end of tibia.
An unspecified fracture of the upper end of the tibia typically refers to a break in the proximal region of the tibia, which is crucial for weight-bearing and mobility. This type of fracture can occur due to various mechanisms, including falls, sports injuries, or vehicular accidents. The upper end of the tibia is closely associated with the knee joint, making these fractures particularly significant as they can impact knee stability and function. Symptoms often include localized pain, swelling, and difficulty bearing weight on the affected leg. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI, which help to assess the extent of the fracture and any associated soft tissue injuries, such as ligament tears. Treatment may involve conservative management with immobilization or surgical intervention, depending on the fracture's complexity and the patient's overall health. Rehabilitation is essential for restoring function and strength to the knee and leg following recovery from the fracture.
Detailed descriptions of the fracture type, location, and any associated injuries must be documented. Imaging results and treatment plans should also be included.
Fractures resulting from sports injuries, falls, or trauma requiring surgical intervention.
Ensure that all surgical procedures performed are documented, including any fixation devices used.
Progress notes detailing rehabilitation goals, treatment modalities, and patient response to therapy.
Post-operative rehabilitation following tibial fracture repair or conservative management of fractures.
Document the functional limitations and progress towards recovery to support ongoing therapy needs.
Used when surgical intervention is required for a tibial plateau fracture.
Surgical notes detailing the procedure, fixation method, and post-operative care.
Orthopedic surgeons must document the specifics of the fracture and the surgical approach.
S82.10 is used for unspecified fractures of the upper end of the tibia, while S82.11 is for closed fractures specifically. The choice of code depends on the documentation of the fracture type.
