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ICD-10 Guide
ICD-10 CodesS82.016

S82.016

Billable

Nondisplaced osteochondral fracture of unspecified patella

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

Code Description

ICD-10 S82.016 is a billable code used to indicate a diagnosis of nondisplaced osteochondral fracture of unspecified patella.

Key Diagnostic Point:

A nondisplaced osteochondral fracture of the patella refers to a fracture that does not result in the separation of the bone fragments, maintaining their anatomical alignment. This type of fracture typically occurs due to direct trauma or indirect forces applied to the knee, such as during sports activities or falls. The osteochondral component indicates that the fracture involves both the bone and the cartilage covering the patella, which can lead to complications such as joint instability or post-traumatic arthritis if not managed properly. Symptoms may include localized pain, swelling, and limited range of motion in the knee. Diagnosis is often confirmed through imaging studies, such as X-rays or MRI, which can reveal the extent of the fracture and any associated cartilage damage. Treatment may involve conservative management, including rest, ice, compression, and elevation (RICE), or more invasive procedures if the fracture leads to significant joint dysfunction. Rehabilitation is crucial for restoring knee function and preventing long-term complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for precise imaging documentation to confirm diagnosis
  • Potential for associated injuries (e.g., ligament tears) complicating coding
  • Differentiation from other types of patellar fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture (nondisplaced vs. displaced)
  • Lack of imaging reports to support the diagnosis
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed clinical notes including mechanism of injury, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with knee pain after a fall or sports injury, requiring imaging and potential surgical intervention.

Billing Considerations

Orthopedic surgeons must document the specific type of fracture and any associated injuries to ensure accurate coding.

Physical Therapy

Documentation Requirements

Progress notes detailing patient assessments, treatment interventions, and functional outcomes.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture to regain strength and mobility.

Billing Considerations

Therapists should document the patient's response to treatment and any changes in functional status.

Coding Guidelines

Inclusion Criteria

Use S82.016 When
  • According to ICD
  • 10 guidelines, this code should be used when the fracture is confirmed as nondisplaced and involves the osteochondral area of the patella
  • It is essential to document the specific nature of the fracture and any associated injuries

Exclusion Criteria

Do NOT use S82.016 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Arthroscopy, knee, diagnostic, with or without synovial biopsy

Clinical Scenario

Used when the physician performs an arthroscopy to assess the extent of the fracture and any associated injuries.

Documentation Requirements

Operative report detailing findings and any interventions performed.

Specialty Considerations

Orthopedic surgeons must ensure the procedure is justified based on the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced osteochondral fractures, which aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced osteochondral fractures, which aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement and to avoid claim denials.

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 nondisplaced and displaced fracture?

A nondisplaced fracture means the bone fragments remain aligned, while a displaced fracture involves misalignment of the bone fragments.