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ICD-10 Guide
ICD-10 CodesS82.154

S82.154

Billable

Nondisplaced fracture of right tibial tuberosity

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

Code Description

ICD-10 S82.154 is a billable code used to indicate a diagnosis of nondisplaced fracture of right tibial tuberosity.

Key Diagnostic Point:

A nondisplaced fracture of the right tibial tuberosity is a type of injury that occurs at the bony prominence located just below the knee joint, where the patellar tendon attaches to the tibia. This injury is commonly seen in adolescents and young adults, particularly those involved in sports that require jumping or rapid changes in direction, such as basketball or soccer. The fracture is characterized by a break in the bone that does not result in the separation of the bone fragments, allowing for a relatively stable injury. Symptoms typically include localized pain, swelling, and tenderness at the site of the fracture, as well as difficulty in knee extension. Diagnosis is often confirmed through physical examination and imaging studies, such as X-rays. Treatment usually involves conservative management, including rest, ice, compression, and elevation (RICE), along with immobilization in a brace or cast. In some cases, physical therapy may be recommended to restore strength and range of motion. Surgical intervention is rare and typically reserved for cases where the fracture is associated with significant instability or complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical location and implications of the tibial tuberosity
  • Variability in documentation practices among providers
  • Potential for associated ligament injuries or other knee conditions

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the nondisplaced nature of the fracture
  • Lack of imaging reports to support the diagnosis
  • Misclassification of the fracture type

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed clinical notes including mechanism of injury, physical examination findings, imaging results, and treatment plan.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or direct trauma to the knee.

Billing Considerations

Ensure clear documentation of any associated injuries, such as ligament tears, which may affect treatment and coding.

Physical Therapy

Documentation Requirements

Progress notes detailing functional limitations, treatment interventions, and patient response to therapy.

Common Clinical Scenarios

Rehabilitation following a tibial tuberosity fracture, focusing on restoring strength and mobility.

Billing Considerations

Document the patient's baseline function and progress to support ongoing therapy needs.

Coding Guidelines

Inclusion Criteria

Use S82.154 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type and location
  • Include any relevant external cause codes if applicable
  • The code S82
  • 154 is specific to nondisplaced fractures of the right tibial tuberosity and should not be used for other types of fractures

Exclusion Criteria

Do NOT use S82.154 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Open treatment of tibial tuberosity fracture

Clinical Scenario

Used when surgical intervention is required for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure, indications, and findings.

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, including the nondisplaced nature of tibial tuberosity fractures. This specificity aids in better tracking of injury patterns and outcomes, ultimately improving patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the nondisplaced nature of tibial tuberosity fractures. This specificity aids in better tracking of injury patterns and outcomes, ultimately improving patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the nondisplaced nature of tibial tuberosity fractures. This specificity aids in better tracking of injury patterns and outcomes, ultimately improving patient care.

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 break in the bone where the fragments are separated, while a nondisplaced fracture means the bone cracks but maintains its proper alignment.