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ICD-10 Guide
ICD-10 CodesS82.022

S82.022

Billable

Displaced longitudinal fracture of left patella

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

Code Description

ICD-10 S82.022 is a billable code used to indicate a diagnosis of displaced longitudinal fracture of left patella.

Key Diagnostic Point:

A displaced longitudinal fracture of the left patella is a specific type of knee injury characterized by a fracture that runs along the length of the patella (kneecap) and results in the bone fragments being misaligned. This type of fracture can occur due to direct trauma, such as a fall or a sports-related injury, or from indirect trauma, such as a sudden force applied to the knee. The displacement of the fracture can lead to significant pain, swelling, and impaired mobility, making it difficult for the patient to bear weight on the affected leg. Diagnosis typically involves physical examination and imaging studies, such as X-rays or MRI, to assess the extent of the fracture and any associated injuries to surrounding structures, including ligaments and cartilage. Treatment options may vary from conservative management, such as immobilization and physical therapy, to surgical intervention, particularly if the fracture is severely displaced or if there are associated ligament injuries. Proper management is crucial to restore function and prevent long-term complications, such as osteoarthritis or chronic pain.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and displacement
  • Differentiation from non-displaced fractures and other knee injuries
  • Potential for associated ligament injuries requiring additional coding
  • Variability in treatment approaches impacting coding

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries or treatments
  • Incorrect coding of the laterality of the fracture
  • Lack of imaging reports to support the diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes 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 assessments of functional limitations and rehabilitation plans.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture or surgery.

Billing Considerations

Focus on functional outcomes and progress notes to support ongoing treatment.

Coding Guidelines

Inclusion Criteria

Use S82.022 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's characteristics, including laterality and displacement
  • Include any associated injuries or conditions that may affect treatment

Exclusion Criteria

Do NOT use S82.022 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27400CPT Code

Arthrotomy, knee, with or without meniscectomy

Clinical Scenario

Used when surgical intervention is required for displaced fractures.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the extent of the injury and any repairs performed.

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 details about displacement and laterality, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and laterality, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and laterality, which enhances the accuracy of patient records and treatment plans.

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 S82.022 and S82.021?

S82.022 refers to a displaced longitudinal fracture of the left patella, while S82.021 refers to a non-displaced fracture. The distinction is crucial for treatment planning and coding accuracy.