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ICD-10 Guide
ICD-10 CodesS82.036

S82.036

Billable

Nondisplaced transverse fracture of unspecified patella

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

Code Description

ICD-10 S82.036 is a billable code used to indicate a diagnosis of nondisplaced transverse fracture of unspecified patella.

Key Diagnostic Point:

A nondisplaced transverse fracture of the patella is characterized by a break in the bone that does not result in the separation of the bone fragments. This type of fracture typically occurs due to direct trauma to the knee, such as a fall or a direct blow. The patella, or kneecap, plays a crucial role in knee function by protecting the knee joint and facilitating movement. Patients with this type of fracture may present with localized pain, swelling, and difficulty in knee extension. Diagnosis is often confirmed through imaging studies, such as X-rays, which reveal the fracture line without displacement. Treatment usually involves conservative management, including rest, ice, compression, and elevation (RICE), along with immobilization in a brace or splint. In some cases, physical therapy may be recommended to restore strength and range of motion. Surgical intervention is rarely required unless there are complications or associated injuries to the knee structures. Understanding the implications of a nondisplaced transverse fracture is essential for effective management and rehabilitation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms among patients
  • Need for precise imaging interpretation
  • Differentiation from other types of patellar fractures
  • Potential for associated ligament injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture
  • Misinterpretation of imaging results
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, imaging results, and treatment plan.

Common Clinical Scenarios

Fractures due to sports injuries, falls, or accidents.

Billing Considerations

Ensure clear documentation of any associated ligament injuries or surgical interventions.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Post-fracture rehabilitation and recovery.

Billing Considerations

Document functional limitations and goals for therapy.

Coding Guidelines

Inclusion Criteria

Use S82.036 When
  • Follow the official ICD
  • CM coding guidelines for fractures, ensuring accurate documentation of the fracture type and any associated injuries
  • Include details about the treatment plan and follow
  • up care

Exclusion Criteria

Do NOT use S82.036 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of patellar fracture

Clinical Scenario

Used when surgical intervention is required for displaced fractures.

Documentation Requirements

Surgical notes detailing the procedure and any complications.

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 more specific coding of fractures, improving the accuracy of patient records and treatment plans. S82.036 provides clarity in coding nondisplaced fractures, which can lead to better management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and treatment plans. S82.036 provides clarity in coding nondisplaced fractures, which can lead to better management and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 nondisplaced fracture?

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