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ICD-10 Guide
ICD-10 CodesS82.041

S82.041

Billable

Displaced comminuted fracture of right patella

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

Code Description

ICD-10 S82.041 is a billable code used to indicate a diagnosis of displaced comminuted fracture of right patella.

Key Diagnostic Point:

A displaced comminuted fracture of the right patella is characterized by the patella being broken into multiple fragments, with the fragments being misaligned or displaced from their normal anatomical position. This type of fracture typically occurs due to high-impact trauma, such as a fall or a direct blow to the knee. Patients may present with severe pain, swelling, and an inability to extend the knee. Physical examination often reveals tenderness over the patella, and imaging studies, particularly X-rays, are essential for confirming the diagnosis and assessing the extent of the fracture. Treatment may involve surgical intervention, such as open reduction and internal fixation (ORIF), to realign the fragments and stabilize the knee joint. Rehabilitation is crucial for restoring function and strength, and the prognosis depends on the severity of the fracture and the success of the treatment. Complications can include nonunion, malunion, or post-traumatic arthritis, which may necessitate further orthopedic procedures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires detailed documentation of fracture type and displacement.
  • Need for accurate imaging reports to support coding.
  • Potential for multiple treatment options complicating coding.
  • Differentiation from non-displaced or simple fractures.

Audit Risk Factors

  • Inadequate documentation of fracture details.
  • Failure to document associated injuries.
  • Incorrect coding of fracture type or location.
  • Lack of imaging studies in the medical record.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and follow-up care documentation.

Common Clinical Scenarios

Surgical repair of patellar fractures, management of post-operative complications.

Billing Considerations

Ensure accurate documentation of fracture classification and treatment approach.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Rehabilitation following surgical repair of patellar fractures.

Billing Considerations

Document functional limitations and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S82.041 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the fracture type, location, and treatment
  • Include any associated injuries or complications in coding

Exclusion Criteria

Do NOT use S82.041 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Open treatment of patellar fracture

Clinical Scenario

Used during surgical repair of a displaced comminuted fracture of the patella.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the fracture type and surgical approach.

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 comminution, 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 details about displacement and comminution, which aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

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

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 comminuted fracture and a simple fracture?

A comminuted fracture involves the bone being broken into multiple fragments, while a simple fracture is a clean break with no displacement or fragmentation.