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ICD-10 Guide
ICD-10 CodesS82.11

S82.11

Billable

Fracture of tibial spine

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

Code Description

ICD-10 S82.11 is a billable code used to indicate a diagnosis of fracture of tibial spine.

Key Diagnostic Point:

A fracture of the tibial spine is a specific type of injury that occurs at the bony prominence on the tibia, which is crucial for knee stability and function. This injury is often associated with knee trauma, particularly in sports-related incidents or falls. The tibial spine serves as an attachment point for the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL), making it vital for knee stability. Fractures in this area can lead to significant knee instability, pain, and impaired mobility. Symptoms typically include localized swelling, tenderness, and difficulty bearing weight on the affected leg. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI, which can reveal the extent of the fracture and any associated ligamentous injuries. Treatment may involve conservative management with rest, ice, compression, and elevation (RICE), or surgical intervention in more severe cases to restore stability and function. Rehabilitation is essential for recovery, focusing on restoring range of motion and strength to prevent long-term complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture severity and associated injuries
  • Need for precise documentation of imaging findings
  • Potential for co-existing ligament injuries complicating treatment
  • Variations in treatment protocols based on patient age and activity level

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated ligament injuries
  • Misclassification of fracture type or severity
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or motor vehicle accidents.

Billing Considerations

Documentation must clearly indicate the type of fracture and any associated ligament injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient responses to treatment.

Common Clinical Scenarios

Rehabilitation following surgical repair of tibial spine fractures.

Billing Considerations

Therapists should document functional limitations and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S82.11 When
  • According to ICD
  • 10 guidelines, S82
  • 11 should be used when the fracture is confirmed through imaging
  • It is important to document the specific type of fracture and any associated injuries to ensure accurate coding

Exclusion Criteria

Do NOT use S82.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Arthroscopy, knee, surgical

Clinical Scenario

Used in cases where surgical intervention is required for tibial spine fractures.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the extent of the injury and any repairs performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of tibial spine fractures, improving the accuracy of diagnoses and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tibial spine fractures, improving the accuracy of diagnoses and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of tibial spine fractures, improving the accuracy of diagnoses and treatment tracking.

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 tibial spine fracture?

Treatment may vary from conservative management, including rest and physical therapy, to surgical intervention, depending on the severity of the fracture and associated injuries.