Transverse fracture of patella
ICD-10 S82.03 is a billable code used to indicate a diagnosis of transverse fracture of patella.
A transverse fracture of the patella is characterized by a horizontal break across the knee cap, which can occur due to direct trauma or indirect forces, such as a fall or a sudden impact during sports activities. This type of fracture can lead to significant pain, swelling, and limited mobility in the knee joint. Patients may present with an inability to extend the knee fully, and physical examination often reveals tenderness over the patella, swelling, and sometimes a palpable gap in the bone. Imaging studies, particularly X-rays, are essential for confirming the diagnosis and assessing the fracture's displacement. Treatment options vary based on the fracture's severity and displacement, ranging from conservative management with immobilization and physical therapy to surgical intervention for more complex cases. Surgical options may include open reduction and internal fixation (ORIF) to restore the patella's integrity and function. Rehabilitation is crucial for restoring knee function and strength post-injury, and the prognosis is generally favorable with appropriate treatment.
Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.
Fractures due to sports injuries, falls, or vehicular accidents.
Ensure that all associated injuries (e.g., ligament tears) are documented to support comprehensive coding.
Comprehensive rehabilitation plans and progress notes are necessary to justify ongoing treatment.
Post-operative rehabilitation following surgical repair of patellar fractures.
Document functional limitations and progress to support the need for therapy.
Used in cases where a transverse fracture leads to severe joint damage requiring replacement.
Operative report detailing the procedure and indications for surgery.
Orthopedic surgeons must document the rationale for surgery and any pre-existing conditions.
The primary treatment can vary from conservative management with immobilization and physical therapy to surgical intervention, such as open reduction and internal fixation, depending on the fracture's severity and displacement.
