ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS82.12

S82.12

Billable

Fracture of lateral condyle of tibia

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

Code Description

ICD-10 S82.12 is a billable code used to indicate a diagnosis of fracture of lateral condyle of tibia.

Key Diagnostic Point:

The lateral condyle of the tibia is a critical area of the knee joint, and fractures in this region can significantly impact knee stability and function. A fracture of the lateral condyle typically occurs due to high-impact trauma, such as falls or sports injuries, and can be associated with ligamentous injuries, particularly to the collateral ligaments. Clinically, patients may present with localized pain, swelling, and limited range of motion in the knee. Diagnosis is often confirmed through imaging studies, including X-rays or MRI, which can reveal the extent of the fracture and any associated soft tissue injuries. Treatment may involve conservative management with immobilization and physical therapy or surgical intervention, such as open reduction and internal fixation (ORIF), depending on the fracture's severity and displacement. Proper management is crucial to restore knee function and prevent long-term complications, such as post-traumatic arthritis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of tibial fractures
  • Identifying associated ligament injuries
  • Understanding the implications of fracture displacement
  • Navigating surgical vs. non-surgical treatment options

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated ligament injuries
  • Incorrect coding of fracture type or location
  • Lack of clarity on treatment plans

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments are essential.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate documentation of fracture classification and any surgical interventions performed.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals and patient response to therapy.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of the fracture.

Billing Considerations

Document functional limitations and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S82.12 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details about the treatment plan and follow
  • up care

Exclusion Criteria

Do NOT use S82.12 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of tibial condyle fracture

Clinical Scenario

Used when surgical intervention is performed for a lateral condyle fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and any fixation methods used.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including the lateral condyle of the tibia, which enhances the ability to track treatment outcomes and complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the lateral condyle of the tibia, which enhances the ability to track treatment outcomes and complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the lateral condyle of the tibia, which enhances the ability to track treatment outcomes and complications.

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 lateral condyle fracture?

Treatment may vary from conservative management with immobilization to surgical intervention, such as open reduction and internal fixation, depending on the fracture's severity and displacement.