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v1.0.0
ICD-10 Guide
ICD-10 CodesS82.0

S82.0

Billable

Fracture of patella

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/26/2025

Code Description

ICD-10 S82.0 is a billable code used to indicate a diagnosis of fracture of patella.

Key Diagnostic Point:

A fracture of the patella, commonly known as the kneecap, is a significant injury that can occur due to direct trauma, falls, or high-impact sports activities. The patella serves as a protective shield for the knee joint and plays a crucial role in the biomechanics of knee extension. Fractures can be classified as either non-displaced, where the bone cracks but maintains its position, or displaced, where the bone fragments are misaligned. Symptoms typically include severe pain, swelling, bruising, and an inability to straighten the knee. Diagnosis is primarily through physical examination and imaging studies such as X-rays or CT scans. Treatment options vary based on the fracture type and may include conservative management with immobilization or surgical intervention, such as open reduction and internal fixation (ORIF) for displaced fractures. Rehabilitation is essential for restoring function and strength to the knee joint post-injury. Complications can include stiffness, arthritis, or malunion of the fracture, necessitating careful monitoring and follow-up.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and non-displaced fractures
  • Potential for associated ligament injuries
  • Variability in treatment approaches (surgical vs. conservative)
  • Need for accurate imaging documentation

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to document associated injuries
  • Misclassification of fracture displacement
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

Documentation must clearly indicate the type of fracture and any surgical interventions performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans and progress notes are necessary to support the coding of post-fracture care.

Common Clinical Scenarios

Patients undergoing rehabilitation after surgical fixation of a patellar fracture.

Billing Considerations

Focus on functional outcomes and any complications arising from the fracture.

Coding Guidelines

Inclusion Criteria

Use S82.0 When
  • According to ICD
  • 10 guidelines, S82
  • 0 should be used when documenting a fracture of the patella
  • It is essential to specify whether the fracture is displaced or non
  • displaced
  • The code does not include fractures due to pathological conditions or stress fractures

Exclusion Criteria

Do NOT use S82.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Open treatment of patellar fracture

Clinical Scenario

Used when surgical intervention is performed for a displaced patellar fracture.

Documentation Requirements

Operative report detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and fixation method.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of patellar fractures, improving the accuracy of data collection and reimbursement processes. The granularity of codes helps in better tracking of treatment outcomes and complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of patellar fractures, improving the accuracy of data collection and reimbursement processes. The granularity of codes helps in better tracking of treatment outcomes and complications.

Reimbursement & Billing Impact

reimbursement processes. The granularity of codes helps in better tracking of treatment outcomes and complications.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a displaced and non-displaced patellar fracture?

A displaced patellar fracture involves a separation of the bone fragments, while a non-displaced fracture means the bone cracks without moving out of alignment. This distinction is crucial for determining treatment options and coding.