ICD 10 CM S82.191R | Description & Clinical Information

ICD 10 S82.191R describes a specific type of injury that involves a fracture of the upper end of the tibia, which is the larger of the two lower leg bones, occurring just below the knee and resulting from trauma caused by various factors such as falls from high elevations, direct blows to the shin, motor vehicle accidents, and sports injuries, with the risk of fracture increasing in elderly individuals due to thinning of the bones and cancer, and this code is used when the provider documents a type IIIA, IIIB, or IIIC open fracture of the upper end of the right tibia that is not represented by another code in this category at a subsequent encounter, where the fragments of the fracture unite incompletely or in a faulty position and are exposed through a tear or laceration in the skin.

Official Description Of S82.191R

The ICD 10 CM book defines ICD 10 code S82.191R as:

When To Use S82.191R

The diagnosis describes by the ICD 10 CM S82.191R code is a fracture of the upper end of the right tibia. This type of fracture is commonly referred to as a proximal tibia fracture and can be caused by various factors, including traumatic injuries such as falls or car accidents. Individuals who participate in high-impact sports or those with weakened bones due to osteoporosis may also be more susceptible to this type of fracture.

One of the primary symptoms of a proximal tibia fracture is severe pain when walking or bending the knee. In addition, the affected area may become swollen, tender, and bruised, and there may be a noticeable deformity. If the fracture is advanced and accompanied by nerve and blood vessel damage, more severe symptoms such as numbness and tingling down the lower leg and paleness and coolness of the foot may also be present.

To diagnose a proximal tibia fracture, physicians will typically begin by collecting a detailed history of the patient’s injury. Physical examination will then be performed with particular attention given to nerves, blood vessels, range of motion, and reflexes. Laboratory studies may also be necessary, which can help physicians assess blood loss, blood clotting, muscle injury, and other factors contributing to or caused by the injury.

Imaging studies, such as X-rays or computed tomography scans, are also useful in assessing the severity of the injury. These scans can provide physicians with a detailed view of any damage to bones or soft tissues, allowing them to determine the type of treatment that will be most effective.

For stable and closed fractures, physicians may recommend applying a splint, brace, or cast to restrict limb movement. In most cases, surgery is not required for these types of fractures. However, unstable displaced fractures may require open or closed reduction and fixation, while open wounds and associated soft tissue or connective tissue injuries require surgery to repair the damage.

In addition to conventional treatments, medications such as narcotic analgesics or nonsteroidal anti-inflammatory drugs may be prescribed to alleviate pain associated with a proximal tibia fracture. Finally, as healing progresses, gradual weight-bearing and exercises to improve flexibility, strength, and range of motion may be recommended.

In summary, a proximal tibia fracture is a serious injury that can result in severe pain and discomfort. Diagnosis typically involves a detailed medical history, physical examination, laboratory studies, and imaging tests. Treatment options may include immobilization, surgery, medications, and physical therapy, and the course of treatment will depend on the severity and extent of the fracture.