Other fracture of upper end of right tibia
ICD-10 S82.191 is a billable code used to indicate a diagnosis of other fracture of upper end of right tibia.
The S82.191 code refers to fractures occurring at the upper end of the right tibia, which can involve various types of fractures such as non-displaced, displaced, or comminuted fractures. These injuries often result from high-impact trauma, such as falls or sports injuries, and can lead to significant complications if not treated properly. The upper end of the tibia is crucial for knee stability and function, as it articulates with the femur and fibula. Patients may present with symptoms including pain, swelling, and inability to bear weight on the affected leg. Diagnosis typically involves physical examination and imaging studies such as X-rays or MRI to assess the extent of the fracture and any associated ligamentous injuries. Treatment may range from conservative management, including immobilization and physical therapy, to surgical interventions such as open reduction and internal fixation (ORIF) to restore alignment and stability. Complications can include malunion, nonunion, and post-traumatic arthritis, particularly if associated with ligament tears or other knee injuries.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Fractures resulting from sports injuries, falls, or vehicular accidents.
Documentation must clearly indicate the type of fracture and any associated procedures performed.
Comprehensive assessments of functional status and rehabilitation progress.
Post-operative rehabilitation following surgical fixation of tibial fractures.
Focus on functional outcomes and any complications that may arise during recovery.
Used in cases where surgical intervention is required for displaced fractures.
Operative report detailing the procedure and any complications.
Orthopedic surgeons must ensure accurate coding of the procedure performed.
Accurate coding of S82.191 is crucial for proper reimbursement, tracking of healthcare outcomes, and ensuring that patients receive appropriate care based on their specific injuries.
