ICD 10 CM S82.101F | Description & Clinical Information

ICD 10 S82.101F describes a fracture of the upper end of the right tibia, which is the larger and stronger of the two bones in the right lower leg, that typically occurs just below the knee and may involve displacement of the fracture fragments; this injury can be caused by a fall from a high elevation, traffic accident, or sports injury, and is more likely to occur in the elderly with thinning bones or cancer, and if the fracture is open and exposed through a tear or laceration in the skin caused by the fracture or external injury, it may be classified as type IIIA, IIIB, or IIIC according to the Gustilo classification.

Official Description Of S82.101F

The ICD 10 CM book defines ICD 10 code S82.101F as:

When To Use S82.101F

The diagnosis describes by the ICD 10 CM S82.101F code is an unspecified fracture of the upper end of the right tibia, which is commonly known as a proximal tibia fracture. Patients with this injury usually experience severe pain when moving their leg or with weightbearing, as well as swelling, tenderness, and bruising over the affected site. Additionally, they may encounter difficulties moving the leg, restricted range of motion, and deformity, particularly of the knee. In some instances, patients may also experience numbness and tingling if nerve and blood vessel damage is present.

Typically, healthcare providers diagnose this condition through a combination of the patient’s medical history and physical examination. They pay particular attention to nerve, blood vessel, and reflex assessments. Providers may also conduct laboratory studies to evaluate or follow up on blood loss, blood clotting, muscle injury, or other factors that may contribute to or be caused by this injury. To assess the severity of the fracture, imaging techniques such as anteroposterior (AP) and lateral view X-rays and computed tomography (CT) may be used along with magnetic resonance imaging (MRI), and/or a bone scan if the provider suspects a pathologic fracture.

Treatment for stable and closed fractures may include skeletal traction, splinting, bracing, or casting to restrict limb movement. Such measures typically do not require surgery. However, unstable fractures necessitate open or closed reduction and fixation, while open fractures require surgery to close the wound. Healthcare providers may also recommend narcotic analgesics and/or nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain, depending on its severity. As healing progresses, patients may also undergo exercises aimed at improving flexibility, strength, and range of motion.

Proximal tibia fractures are often caused by severe blunt trauma or injuries that involve falls, car accidents, or sports mishaps. Certain diseases, including osteoporosis or bone cancer, may also increase the risk of experiencing this type of fracture. Risk factors that make individuals more susceptible to proximal tibia fractures include age, sex, race, and comorbidities such as obesity, diabetes, or hypertension.

In conclusion, the ICD 10 CM S82.101F diagnosis code describes an unspecified fracture of the upper end of the right tibia, commonly known as a proximal tibia fracture. Diagnosis of this condition is typically made through a combination of the patient’s medical history, physical examination, laboratory studies, and imaging techniques. Treatment options vary depending on the severity of the injury, but may involve immobilization, surgery, and pain management. Patients may also participate in rehabilitation exercises aimed at improving flexibility, strength, and range of motion. It is important to note that certain risk factors, such as age, sex, race, and comorbidities, may increase the likelihood of experiencing a proximal tibia fracture.