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ICD-10 Guide
ICD-10 CodesS82.145

S82.145

Billable

Nondisplaced bicondylar fracture of left tibia

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

Code Description

ICD-10 S82.145 is a billable code used to indicate a diagnosis of nondisplaced bicondylar fracture of left tibia.

Key Diagnostic Point:

A nondisplaced bicondylar fracture of the left tibia refers to a fracture that occurs at the distal 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 the result of high-energy trauma, such as a fall from a height or a motor vehicle accident. Clinically, patients may present with swelling, pain, and limited range of motion in the knee joint. Diagnosis is typically confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture pattern. Treatment may involve conservative management with immobilization or surgical intervention, depending on the stability of the fracture and the patient's overall health. Rehabilitation is crucial for restoring function and strength to the knee joint post-injury. The management of bicondylar fractures is complex due to the involvement of the knee joint, which is critical for weight-bearing and mobility.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Involvement of both condyles complicates treatment and coding.
  • Differentiation from displaced fractures requires careful review of imaging.
  • Potential for associated ligament injuries increases coding complexity.
  • Documentation must specify the nondisplaced nature to avoid miscoding.

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement status.
  • Failure to document associated injuries, such as ligament tears.
  • Misinterpretation of imaging results leading to incorrect coding.
  • Inconsistent follow-up documentation regarding treatment outcomes.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly indicate the fracture type and any associated procedures performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of functional limitations and rehabilitation progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture for strength and mobility.

Billing Considerations

Focus on functional outcomes and the impact of the injury on daily activities.

Coding Guidelines

Inclusion Criteria

Use S82.145 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on treatment and follow
  • up care

Exclusion Criteria

Do NOT use S82.145 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of tibial fracture

Clinical Scenario

Used when surgical intervention is required for a nondisplaced bicondylar fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the fracture type and treatment rationale.

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 nondisplaced bicondylar fractures, which enhances data accuracy and improves patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced bicondylar fractures, which enhances data accuracy and improves patient care tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced bicondylar fractures, which enhances data accuracy and improves patient care tracking.

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 bicondylar fracture?

A displaced bicondylar fracture involves a significant shift in the bone fragments, while a nondisplaced fracture maintains the alignment of the bone despite the fracture.