ICD 10 CM S82.151P | Description & Clinical Information

ICD 10 S82.151P describes a specific type of fracture that is rare and occurs in adolescents, involving a break in the raised bony prominence just below the knee on the upper end of the larger of the two lower leg bones, the tibia, and the growth plate, resulting in misalignment of the bony fragments, and is applicable to a subsequent encounter for a closed fracture of the right tibial tuberosity that has not been exposed through a tear or laceration in the skin, when the fragments have not united properly or are in an incorrect position.

Official Description Of S82.151P

The ICD 10 CM book defines ICD 10 code S82.151P as:

When To Use S82.151P

The diagnosis describes by the ICD 10 CM S82.151P code pertains to a potentially debilitating medical condition that may occur in individuals, predominantly adolescents, with OsgoodSchlatter disease. This disease causes the degeneration of the growth plate and subsequent regeneration, which can lead to the development of displaced tibial tuberosity fractures of the right leg.

Individuals with this condition may experience sudden and severe pain in the knee area, accompanied by swelling and tenderness over the upper tibia. They may also find it difficult to straighten their legs against resistance or at all, depending on the severity of the fracture. Furthermore, individuals with more severe fractures may experience hemarthrosis, which is the presence of blood in the joint, and an upward shift of the patella.

To diagnose this condition, providers typically rely on the patient’s medical history, looking for any indication of injury while partaking in activities such as basketball. A physical examination is also a crucial step in the diagnosis, with the provider focusing on the patient’s ability to straighten their lower leg against gravity and resistance.

Since these fractures result from avulsion, or the tearing away of muscle from its usual attachment on the bone, there is usually no indication of open wounds or injuries to the surrounding tissue. Providers commonly order anteroposterior, lateral, and oblique X-rays to confirm the diagnosis.

The severity of the fracture determines the type of treatment recommended. In cases of less severe and closed fractures, cast immobilization with the leg in full extension is typically sufficient. However, for more severe and unstable, displaced, or open fractures, open surgical reduction and fixation with wound closure may be necessary.

Other treatment options for individuals experiencing this condition include narcotic analgesics for severe pain and nonsteroidal anti-inflammatory drugs for less severe pain. Gradual weight-bearing, along with exercises to improve flexibility, strength, and range of motion, may also prove beneficial in managing this condition.

In summary, the diagnosis described by the ICD 10 CM S82.151P code refers to potentially debilitating tibial tuberosity fractures that may occur in individuals with OsgoodSchlatter disease. Timely and accurate diagnosis and proper treatment can be instrumental in minimizing the negative effects of this condition on the individual’s quality of life.