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ICD-10 Guide
ICD-10 CodesS82.143

S82.143

Billable

Displaced bicondylar fracture of unspecified tibia

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

Code Description

ICD-10 S82.143 is a billable code used to indicate a diagnosis of displaced bicondylar fracture of unspecified tibia.

Key Diagnostic Point:

A displaced bicondylar fracture of the tibia involves a fracture that occurs at the proximal end of the tibia, affecting both the medial and lateral condyles. This type of fracture is often the result of high-energy trauma, such as a fall from a height or a motor vehicle accident. The displacement indicates that the bone fragments have moved out of their normal alignment, which can lead to complications such as malunion or nonunion if not properly managed. Clinically, patients may present with significant pain, swelling, and inability to bear weight on the affected leg. Imaging studies, particularly X-rays, are essential for diagnosis, and CT scans may be utilized for surgical planning. Treatment typically involves surgical intervention to realign the bone fragments, often using internal fixation devices such as plates and screws. Post-operative rehabilitation is crucial for restoring function and strength to the knee joint, which may also involve addressing associated ligament injuries, such as tears to the anterior cruciate ligament (ACL) or medial collateral ligament (MCL).

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of fracture type and displacement.
  • Involves understanding of associated injuries to ligaments and soft tissues.
  • Surgical intervention may vary based on fracture pattern and patient factors.
  • Potential for complications that may require additional coding.

Audit Risk Factors

  • Inadequate documentation of fracture details.
  • Failure to document associated ligament injuries.
  • Lack of imaging reports to support the diagnosis.
  • Improper coding of surgical procedures related to the fracture.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and post-operative care plans.

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the type of fracture and any associated injuries to ensure accurate coding.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient response to therapy.

Common Clinical Scenarios

Rehabilitation following surgical repair of bicondylar fractures.

Billing Considerations

Therapy notes should correlate with surgical interventions and document functional improvements.

Coding Guidelines

Inclusion Criteria

Use S82.143 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the clinical scenario
  • Include documentation of the fracture type, displacement, and any associated injuries
  • Ensure that the code is supported by imaging and operative reports

Exclusion Criteria

Do NOT use S82.143 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of tibial plateau fracture

Clinical Scenario

Used when surgical intervention is performed for fracture repair.

Documentation Requirements

Operative report detailing the procedure and any fixation devices used.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and the surgical approach.

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 ability to capture details about displacement and associated injuries. This specificity improves data accuracy and enhances the ability to track treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to capture details about displacement and associated injuries. This specificity improves data accuracy and enhances the ability to track treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to capture details about displacement and associated injuries. This specificity improves data accuracy and enhances the ability to track treatment outcomes.

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 the displacement in a bicondylar fracture?

Displacement in a bicondylar fracture indicates that the bone fragments are misaligned, which can complicate treatment and recovery. Proper alignment is crucial for restoring function and preventing long-term complications.