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ICD-10 Guide
ICD-10 CodesS82.142

S82.142

Billable

Displaced bicondylar fracture of left tibia

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

Code Description

ICD-10 S82.142 is a billable code used to indicate a diagnosis of displaced bicondylar fracture of left tibia.

Key Diagnostic Point:

A displaced bicondylar fracture of the left tibia is a severe injury characterized by a break in the tibia bone at the knee joint, affecting both the medial and lateral condyles. This type of fracture typically occurs due to high-energy trauma, such as motor vehicle accidents or falls from significant heights. The displacement of the fracture fragments can lead to instability in the knee joint, necessitating careful evaluation and management. Clinically, patients may present with severe pain, swelling, and inability to bear weight on the affected leg. Radiographic imaging, particularly X-rays, is essential for diagnosis, revealing the fracture's location and displacement. Treatment often involves surgical intervention to realign the bone fragments, stabilize the fracture, and restore knee function. This may include the use of plates, screws, or intramedullary nails. Post-operative rehabilitation is crucial for recovery, focusing on restoring range of motion and strength to prevent long-term complications such as arthritis or instability.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of fracture type and displacement.
  • Involves understanding of orthopedic terminology and anatomy.
  • May require knowledge of surgical procedures and techniques.
  • Potential for multiple codes if associated with ligament injuries.

Audit Risk Factors

  • Inadequate documentation of fracture details.
  • Failure to capture associated injuries (e.g., ligament tears).
  • Misinterpretation of imaging results.
  • Inconsistent coding of surgical procedures.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes.

Common Clinical Scenarios

Surgical repair of bicondylar fractures, management of complications such as infection or non-union.

Billing Considerations

Ensure accurate coding of any additional procedures performed during surgery.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient responses.

Common Clinical Scenarios

Rehabilitation following surgical intervention for tibial fractures.

Billing Considerations

Document functional assessments and goals to support therapy coding.

Coding Guidelines

Inclusion Criteria

Use S82.142 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated injuries
  • Include details from imaging studies and surgical reports to support the coding decision

Exclusion Criteria

Do NOT use S82.142 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of tibial plateau fracture

Clinical Scenario

Used during surgical intervention for bicondylar fractures.

Documentation Requirements

Operative report detailing the procedure performed.

Specialty Considerations

Orthopedic surgeons must document the approach and fixation method.

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 laterality and displacement, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and displacement, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and displacement, which enhances the accuracy of patient records and treatment plans.

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 coding S82.142 accurately?

Accurate coding of S82.142 is crucial for proper reimbursement, tracking of treatment outcomes, and ensuring that patients receive appropriate care for their injuries. It also aids in research and epidemiological studies related to fracture patterns and treatment efficacy.