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ICD-10 Guide
ICD-10 CodesS82.144

S82.144

Billable

Nondisplaced bicondylar fracture of right tibia

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

Code Description

ICD-10 S82.144 is a billable code used to indicate a diagnosis of nondisplaced bicondylar fracture of right tibia.

Key Diagnostic Point:

A nondisplaced bicondylar fracture of the right tibia refers to a fracture that occurs at the proximal end of the tibia, involving both the medial and lateral condyles, without any significant displacement of the bone fragments. This type of fracture is often associated with high-energy trauma, such as falls from height or motor vehicle accidents, and can occur in conjunction with ligamentous injuries, particularly to the knee. The integrity of the knee joint is crucial, as these fractures can lead to complications such as joint instability, post-traumatic arthritis, and impaired range of motion if not managed properly. Diagnosis typically involves imaging studies, including X-rays and possibly MRI, to assess the extent of the fracture and any associated soft tissue injuries. Treatment may vary from conservative management with immobilization to surgical intervention, depending on the fracture's stability and the patient's overall health. Rehabilitation is essential to restore function and strength to the knee joint following treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and classifications
  • Differentiation between displaced and nondisplaced fractures
  • Potential for associated ligament injuries complicating coding
  • Need for accurate documentation of imaging and treatment plans

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries or complications
  • Misclassification of fracture displacement
  • Lack of clarity in treatment plans and follow-up care

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 vehicular accidents.

Billing Considerations

Documentation must clearly indicate the fracture type, treatment plan, and any associated injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment modalities, and patient response.

Common Clinical Scenarios

Post-operative rehabilitation following surgical fixation of tibial fractures.

Billing Considerations

Therapists should document functional limitations and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S82.144 When
  • Follow official ICD
  • CM guidelines for coding fractures, including the use of seventh characters for subsequent encounters if applicable
  • Ensure accurate documentation of the fracture's location and type

Exclusion Criteria

Do NOT use S82.144 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Open treatment of tibial plateau fracture

Clinical Scenario

Used when surgical intervention is required for stabilization of the fracture.

Documentation Requirements

Operative report detailing the procedure, indications, and post-operative care.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and any complications.

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 data collection and reimbursement processes. S82.144 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S82.144 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S82.144 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for treatment planning.

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 bone fragments, while a nondisplaced fracture means the bone cracks but maintains its proper alignment.