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ICD-10 Guide
ICD-10 CodesS82.136

S82.136

Billable

Nondisplaced fracture of medial condyle of unspecified tibia

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

Code Description

ICD-10 S82.136 is a billable code used to indicate a diagnosis of nondisplaced fracture of medial condyle of unspecified tibia.

Key Diagnostic Point:

A nondisplaced fracture of the medial condyle of the tibia refers to a break in the bone that does not result in the separation of the fracture fragments. This type of fracture typically occurs due to trauma, such as a fall or a direct blow to the knee, and is often associated with knee injuries. The medial condyle is the inner part of the tibia that articulates with the femur and plays a crucial role in weight-bearing and knee stability. Patients may present with 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 help assess the extent of the injury and rule out associated ligament tears or other complications. Treatment often involves conservative management, including rest, ice, compression, and elevation (RICE), along with physical therapy to restore function. In some cases, surgical intervention may be necessary if there are associated injuries or if conservative treatment fails to provide relief.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Identifying associated injuries such as ligament tears
  • Understanding the anatomical location and implications of the fracture
  • Variability in documentation practices among providers

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to document associated injuries
  • Misuse of similar codes leading to incorrect billing
  • Lack of clarity in imaging reports

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed imaging reports, surgical notes if applicable, and follow-up assessments.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of fracture type and any associated ligament injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Post-fracture rehabilitation focusing on restoring range of motion and strength.

Billing Considerations

Document functional limitations and progress towards rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S82.136 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type and any associated conditions
  • Include details about the mechanism of injury and any imaging results that support the diagnosis

Exclusion Criteria

Do NOT use S82.136 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27447CPT Code

Arthroscopy, knee, surgical

Clinical Scenario

Used when surgical intervention is required for associated injuries.

Documentation Requirements

Detailed operative report and pre-operative assessment.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and facilitating better patient care through detailed documentation of injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and facilitating better patient care through detailed documentation of injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and facilitating better patient care through detailed documentation of injuries.

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 a displaced and nondisplaced fracture?

A displaced fracture involves a separation of the fracture fragments, while a nondisplaced fracture means the bone remains aligned despite the break.