ICD-10 Coding for Lateral Tibial Plateau Fracture(S82.121A, S82.122A)
Complete ICD-10-CM coding and documentation guide for Lateral Tibial Plateau Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lateral Tibial Plateau Fracture
S82.121-S82.122Primary Range
Fracture of lateral condyle of tibia
These codes specifically address fractures of the lateral condyle of the tibia, including displacement and laterality.
Fracture of lateral tuberosity of tibia
These codes are used for fractures involving the lateral tuberosity, which is non-articular.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S82.121A | Displaced fracture of lateral condyle of right tibia, initial encounter for closed fracture | Use when imaging confirms displacement and documentation specifies lateral condyle of right tibia. |
|
| S82.122A | Displaced fracture of lateral condyle of left tibia, initial encounter for closed fracture | Use when imaging confirms displacement and documentation specifies lateral condyle of left tibia. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for lateral tibial plateau fracture
Essential facts and insights about Lateral Tibial Plateau Fracture
Primary ICD-10-CM Codes for lateral tibial plateau fracture
Decision Criteria
clinical Criteria
- Imaging confirms displacement and lateral condyle involvement
documentation Criteria
- Documentation specifies 'displaced fracture of lateral condyle of right tibia'
Applicable To
- Displaced fracture of lateral condyle, right tibia
Excludes
- Medial condyle fractures
- Unspecified tibial fractures
Clinical Validation Requirements
- Imaging confirms displacement (≥2mm fragment separation or depression ≥4mm)
- Documentation specifies 'lateral condyle'
Code-Specific Risks
- Incorrect laterality
- Missing displacement details
Coding Notes
- Ensure documentation specifies displacement, laterality, and encounter type.
S82.122A - Displaced fracture of lateral condyle of left tibia, initial encounter for closed fracture
Use when imaging confirms displacement and documentation specifies lateral condyle of left tibia.
Applicable To
- Displaced fracture of lateral condyle, left tibia
Excludes
- Medial condyle fractures
- Unspecified tibial fractures
Clinical Validation Requirements
- Imaging confirms displacement (≥2mm fragment separation or depression ≥4mm)
- Documentation specifies 'lateral condyle'
Coding Notes
Ensure documentation specifies displacement, laterality, and encounter type.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Person injured in unspecified motor-vehicle accident, initial encounter
V89.2XXADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Fracture of medial condyle of tibia
S82.14XADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lateral Tibial Plateau Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.121A.
Impact
Clinical: Leads to ambiguity in patient records., Regulatory: May trigger audits due to lack of specificity., Financial: Can result in denied claims or reduced reimbursement.
Mitigation Strategy
Ensure documentation specifies fracture location and type., Use specific codes for lateral condyle fractures.
Impact
Reimbursement: Incorrect coding can lead to denied claims or reduced reimbursement., Compliance: Failure to comply with coding guidelines can result in audits., Data Quality: Inaccurate data entry affects patient records and quality reporting.
Mitigation Strategy
Ensure documentation includes displacement details and specifies right or left tibia.
Impact
Inadequate documentation of displacement and laterality can lead to coding errors.
Mitigation Strategy
Implement thorough documentation practices and regular audits.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Lateral Tibial Plateau Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lateral Tibial Plateau Fracture
Use these documentation templates to ensure complete and accurate documentation for Lateral Tibial Plateau Fracture. These templates include all required elements for proper coding and billing.
Emergency Department Visit
Specialty: Emergency MedicineRequired Elements
- Mechanism of injury
- Imaging results
- Neurovascular status
- Diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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