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ICD-10 Guide
ICD-10 CodesS82.023

S82.023

Billable

Displaced longitudinal fracture of unspecified patella

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

Code Description

ICD-10 S82.023 is a billable code used to indicate a diagnosis of displaced longitudinal fracture of unspecified patella.

Key Diagnostic Point:

A displaced longitudinal fracture of the patella is characterized by a break in the bone that runs along the length of the patella, resulting in a misalignment of the bone fragments. This type of fracture typically occurs due to high-impact trauma, such as falls or direct blows to the knee. Patients may present with significant pain, swelling, and an inability to extend the knee fully. The diagnosis is confirmed through imaging studies, such as X-rays, which reveal the fracture pattern and displacement. Treatment often involves immobilization, pain management, and in some cases, surgical intervention to realign and stabilize the bone fragments. Rehabilitation is crucial for restoring function and strength to the knee joint. The patella plays a vital role in knee mechanics, and any injury can lead to complications such as instability or chronic pain if not managed appropriately.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and patterns
  • Need for precise documentation of displacement
  • Differentiation from non-displaced fractures
  • Potential for associated ligament injuries

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to specify the degree of displacement
  • Misclassification of fracture location
  • Lack of imaging reports to support diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and follow-up assessments.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate description of fracture type and treatment plan.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient response.

Common Clinical Scenarios

Post-operative rehabilitation following patellar fracture repair.

Billing Considerations

Document functional limitations and progress towards goals.

Coding Guidelines

Inclusion Criteria

Use S82.023 When
  • Follow official ICD
  • 10 guidelines for coding fractures, including specificity regarding the type and location of the fracture
  • Ensure to document any associated injuries or complications

Exclusion Criteria

Do NOT use S82.023 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27400CPT Code

Arthroplasty, knee, total

Clinical Scenario

Used in cases where severe fractures require joint replacement.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and facilitating better treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and facilitating better treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and facilitating better treatment planning.

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 fracture?

A displaced fracture means the bone fragments are misaligned, while a non-displaced fracture means the bone remains in its normal position despite the break.