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ICD-10 Guide
ICD-10 CodesS82.092

S82.092

Billable

Other fracture of left patella

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

Code Description

ICD-10 S82.092 is a billable code used to indicate a diagnosis of other fracture of left patella.

Key Diagnostic Point:

The left patella, or kneecap, is a small bone that protects the knee joint and aids in the mechanics of leg movement. An 'other fracture' of the left patella refers to fractures that do not fall into the more common categories of patellar fractures, such as transverse or vertical fractures. These fractures can occur due to direct trauma, such as a fall or a sports injury, or indirectly through stress or overuse. Symptoms typically include localized pain, swelling, and difficulty in knee movement. Diagnosis is often confirmed through imaging studies like X-rays or MRI, which help in assessing the fracture type and any associated injuries to ligaments or cartilage. Treatment may vary from conservative management, including rest and immobilization, to surgical intervention, especially in cases where the fracture is displaced or involves the joint surface. Rehabilitation is crucial for restoring function and strength to the knee post-injury. Understanding the nuances of this fracture type is essential for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and descriptions
  • Potential for associated ligament injuries
  • Need for precise documentation of fracture details
  • Differentiation from other knee injuries

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to note associated ligament injuries
  • Misclassification of fracture type
  • Lack of imaging documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the fracture type, location, and any surgical interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all imaging studies and treatment plans are documented to support the coding.

Physical Therapy

Documentation Requirements

Records of rehabilitation progress, functional assessments, and treatment plans.

Common Clinical Scenarios

Post-operative rehabilitation following patellar fracture repair.

Billing Considerations

Document the patient's functional limitations and progress to justify therapy services.

Coding Guidelines

Inclusion Criteria

Use S82.092 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type and any associated injuries
  • Include details on the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S82.092 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27400CPT Code

Arthroplasty, knee, total

Clinical Scenario

Used in cases where severe patellar fractures require joint replacement.

Documentation Requirements

Document the indication for surgery and pre-operative assessments.

Specialty Considerations

Orthopedic surgeons must provide detailed operative reports.

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. S82.092 provides granularity that aids in clinical decision-making and resource allocation.

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. S82.092 provides granularity that aids in clinical decision-making and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and treatment plans. S82.092 provides granularity that aids in clinical decision-making 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 S82.092 and S82.091?

S82.092 refers specifically to fractures of the left patella, while S82.091 pertains to fractures of the right patella. Accurate coding is essential for proper treatment and billing.