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ICD-10 Guide
ICD-10 CodesS82.099

S82.099

Billable

Other fracture of unspecified patella

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

Code Description

ICD-10 S82.099 is a billable code used to indicate a diagnosis of other fracture of unspecified patella.

Key Diagnostic Point:

The code S82.099 refers to fractures of the patella that do not fall into the more specific categories of patellar fractures. The patella, or kneecap, is a small bone that protects the knee joint and plays a crucial role in knee mechanics. Fractures of the patella can occur due to direct trauma, such as a fall or a blow to the knee, or indirectly through stress or overuse. Symptoms typically include pain, swelling, and difficulty in knee movement. Diagnosis is often confirmed through imaging studies such as X-rays or MRI. Treatment may vary from conservative management, including rest and immobilization, to surgical intervention, particularly in cases of displaced fractures. Understanding the nuances of this code is essential for accurate billing and patient care, as it encompasses a range of potential injuries that may require different management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and treatment options
  • Need for precise documentation of injury mechanism
  • Differentiation from other knee injuries and fractures
  • Potential for co-existing ligament injuries

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to specify the mechanism of injury
  • Misclassification of the fracture as a more specific type
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up notes are essential.

Common Clinical Scenarios

Fractures due to sports injuries, falls, or vehicular accidents.

Billing Considerations

Documentation must clearly indicate the type of fracture and treatment plan.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Post-operative rehabilitation following patellar fracture repair.

Billing Considerations

Focus on functional outcomes and long-term recovery plans.

Coding Guidelines

Inclusion Criteria

Use S82.099 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, mechanism of injury, and treatment plan
  • This code should be used when the specific type of patellar fracture is not documented

Exclusion Criteria

Do NOT use S82.099 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27400CPT Code

Arthroplasty, knee, total

Clinical Scenario

Used in cases where a patellar fracture leads to significant joint damage requiring replacement.

Documentation Requirements

Operative reports detailing the procedure and indications for surgery.

Specialty Considerations

Orthopedic surgeons must document the extent of the injury and rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of knee injuries, including fractures of the patella. This has improved the specificity of patient records and billing processes, although it has also introduced complexity in coding practices.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of knee injuries, including fractures of the patella. This has improved the specificity of patient records and billing processes, although it has also introduced complexity in coding practices.

Reimbursement & Billing Impact

billing processes, although it has also introduced complexity in coding practices.

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

When should I use S82.099 instead of a more specific patellar fracture code?

Use S82.099 when the specific type of patellar fracture is not documented or when the fracture does not fit into the more specific categories.