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ICD-10 Guide
ICD-10 CodesS82.113

S82.113

Billable

Displaced fracture of unspecified tibial spine

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

Code Description

ICD-10 S82.113 is a billable code used to indicate a diagnosis of displaced fracture of unspecified tibial spine.

Key Diagnostic Point:

A displaced fracture of the tibial spine is a specific type of injury that occurs at the proximal end of the tibia, where the ligamentous attachments are located. This injury is often associated with knee trauma, particularly in sports or falls. The tibial spine serves as an attachment point for crucial ligaments, including the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). Displacement of the fracture can lead to instability in the knee joint, affecting the patient's ability to bear weight and perform normal activities. Symptoms typically include localized pain, swelling, and limited range of motion in the knee. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI, which can reveal the extent of the fracture and any associated soft tissue injuries. Treatment may involve conservative management with rest and immobilization or surgical intervention to realign and stabilize the fracture, particularly if there is significant displacement or associated ligamentous injury. Rehabilitation is crucial for restoring function and strength to the knee joint post-injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of fracture type and displacement
  • Need for precise imaging reports to confirm diagnosis
  • Potential for associated ligament injuries complicating coding
  • Differentiation from similar codes related to tibial and fibular fractures

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to document associated ligament injuries
  • Misinterpretation of imaging results
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up 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, displacement, and any surgical interventions performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture or surgical repair.

Billing Considerations

Focus on documenting the impact of the injury on daily activities and the rehabilitation plan.

Coding Guidelines

Inclusion Criteria

Use S82.113 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, displacement, and any associated injuries
  • Include details from imaging studies and treatment plans

Exclusion Criteria

Do NOT use S82.113 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Arthroscopy, knee, surgical; with meniscectomy

Clinical Scenario

Used when a patient with a tibial spine fracture also requires meniscal repair.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the relationship between the fracture and any additional procedures 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 data collection and reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tibial spine fractures, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

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 difference between S82.113 and S82.112?

S82.113 refers to a displaced fracture of the tibial spine, while S82.112 refers to a non-displaced fracture. The distinction is crucial for treatment planning and coding accuracy.