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ICD-10 Guide
ICD-10 CodesS82.045

S82.045

Billable

Nondisplaced comminuted fracture of left patella

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

Code Description

ICD-10 S82.045 is a billable code used to indicate a diagnosis of nondisplaced comminuted fracture of left patella.

Key Diagnostic Point:

A nondisplaced comminuted fracture of the left patella refers to a specific type of knee injury where the patella, or kneecap, has sustained multiple fragments due to trauma, but the bone fragments remain in their normal anatomical position. This type of fracture is often the result of direct impact or a fall onto the knee. Patients may present with swelling, pain, and difficulty in extending the knee. Diagnosis typically involves imaging studies such as X-rays or CT scans to assess the fracture's complexity and to rule out associated injuries. Treatment may vary from conservative management, including immobilization and physical therapy, to surgical intervention if the fracture is unstable or if there are associated ligamentous injuries. Understanding the nuances of this fracture type is crucial for proper coding and management, as it can significantly impact the patient's recovery and rehabilitation process.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and classifications.
  • Differentiation from other knee injuries such as ligament tears.
  • Potential for associated injuries complicating the clinical picture.
  • Need for precise documentation of imaging and treatment plans.

Audit Risk Factors

  • Inadequate documentation of the fracture type and treatment plan.
  • Failure to document associated injuries or complications.
  • Misclassification of fracture displacement status.
  • Inconsistent coding across different providers or settings.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fracture repair, management of associated ligament injuries, and postoperative care.

Billing Considerations

Ensure accurate coding of any surgical procedures performed, including fixation methods.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment modalities, and patient response.

Common Clinical Scenarios

Rehabilitation following fracture stabilization, addressing mobility and strength.

Billing Considerations

Document functional outcomes and any modifications to therapy based on patient progress.

Coding Guidelines

Inclusion Criteria

Use S82.045 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details from imaging studies and treatment plans to support the diagnosis

Exclusion Criteria

Do NOT use S82.045 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27400CPT Code

Arthroplasty, knee, total

Clinical Scenario

Used in cases where the fracture leads to significant joint instability requiring reconstruction.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

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. This specificity aids in better tracking of outcomes and resource allocation in treatment.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

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 means that the bone fragments are not aligned, while a nondisplaced fracture indicates that the fragments remain in their normal anatomical position.