S82.14
Bicondylar fracture of tibia
Clinical Classification Guidelines
Inclusion Terms
- Fracture of tibial plateau NOS
Medical Intelligence & Overview
A bicondylar fracture of the tibia, classified under ICD-10 code S82.14, refers to a serious injury involving breaks in both condyles (the round protrusions at the top of the tibia) of the shinbone. This type of fracture often results from significant trauma and can impact knee stability and mobility. It is sometimes described as a fracture of the tibial plateau without specifying the exact nature of each fracture component. Proper diagnosis and management are essential to restore function and prevent complications.
Causes & Symptoms
Clinical Causes: High-impact falls, especially onto the knees Motor vehicle accidents involving direct trauma to the knee Sports injuries from collisions or falls Industrial or workplace accidents involving heavy machinery Severe twisting or torsional injuries to the knee
Key Symptoms: Severe pain around the knee area Swelling and tenderness in the knee joint Inability to bear weight on the affected leg Deformity or abnormal positioning of the knee Limited range of motion or inability to move the knee normally Bruising or discoloration around the knee Feeling of instability or the knee giving way
Diagnostic & Treatment
Diagnosis Path: X-rays of the knee and tibia to visualize the fracture lines and extent of injury. In some cases, additional imaging such as computed tomography (CT) scans may be required for detailed assessment of the fracture pattern and to plan surgical intervention. The classification of the fracture helps determine the severity and appropriate treatment.
Treatment Protocols: Open reduction and internal fixation (ORIF) using plates, screws, or pins to hold bone fragments in place External fixation in cases with extensive soft tissue damage or open fractures Immobilization with casting or bracing after surgical stabilization Pain management and anti-inflammatory medications Physical therapy to restore strength, flexibility, and function after initial healing
Clinical Advice & FAQs
Billing Guidance
Is S82.14 a billable ICD-10 code?
Yes, S82.14 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S82.14?
Clinical documentation must specify the nature of Bicondylar fracture of tibia and any associated comorbidities for accurate reporting.
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