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ICD-10 Guide
ICD-10 CodesS82.112

S82.112

Billable

Displaced fracture of left tibial spine

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

Code Description

ICD-10 S82.112 is a billable code used to indicate a diagnosis of displaced fracture of left tibial spine.

Key Diagnostic Point:

A displaced fracture of the left tibial spine refers to a break in the bony prominence at the top of the tibia, which is crucial for knee stability and function. This type of fracture often occurs due to high-impact trauma, such as falls or sports injuries, and can lead to significant knee instability if not properly treated. The tibial spine serves as an attachment point for the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL), making it vital for knee mechanics. Symptoms typically include localized pain, swelling, and difficulty bearing weight on the affected leg. Diagnosis is 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 immobilization or surgical intervention, especially in cases of significant displacement or associated ligament tears. Rehabilitation is essential to restore function and strength to the knee joint post-injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific anatomical terminology related to the knee.
  • Differentiation between displaced and non-displaced fractures.
  • Potential for associated ligament injuries complicating the diagnosis.
  • Need for precise documentation of the fracture type and location.

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement.
  • Failure to document associated ligament injuries.
  • Misclassification of fracture location.
  • Lack of imaging reports to support the diagnosis.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and follow-up assessments.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

Documentation must clearly indicate the type of fracture and any surgical interventions performed.

Physical Therapy

Documentation Requirements

Initial evaluation notes, progress reports, and discharge summaries.

Common Clinical Scenarios

Rehabilitation following surgical repair of tibial spine fractures.

Billing Considerations

Therapy notes should reflect the patient's functional progress and any complications.

Coding Guidelines

Inclusion Criteria

Use S82.112 When
  • Follow ICD
  • CM guidelines for coding fractures, including specificity regarding the location and type of fracture
  • Ensure to document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S82.112 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Arthroscopy, knee, surgical; with meniscectomy, medial or lateral.

Clinical Scenario

Used in conjunction with S82.112 when surgical intervention is required for associated meniscal injuries.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.112 provides detailed information about the fracture's location and type, which is essential for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.112 provides detailed information about the fracture's location and type, which is essential for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S82.112 provides detailed information about the fracture's location and type, which is essential for treatment 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 a displaced fracture of the tibial spine?

A displaced fracture of the tibial spine can lead to knee instability and may require surgical intervention to restore proper function and stability to the knee joint.