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ICD-10 Guide
ICD-10 CodesS82.001

S82.001

Billable

Unspecified fracture of right patella

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

Code Description

ICD-10 S82.001 is a billable code used to indicate a diagnosis of unspecified fracture of right patella.

Key Diagnostic Point:

An unspecified fracture of the right patella refers to a break in the kneecap that does not have a specific type or classification indicated. The patella, or kneecap, is a small bone located at the front of the knee joint, playing a crucial role in knee mechanics and movement. 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 usually confirmed through imaging studies such as X-rays or CT scans. Treatment may vary based on the severity of the fracture and can range from conservative management, including rest and immobilization, to surgical intervention for more complex fractures. Understanding the specifics of the fracture type is essential for appropriate management and rehabilitation, as the patella is integral to the function of the knee joint, affecting mobility and weight-bearing activities.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and treatment options
  • Need for precise documentation of injury mechanism
  • Potential for associated injuries (ligament tears, other fractures)
  • Differentiation from other knee injuries (e.g., ligamentous injuries)

Audit Risk Factors

  • Insufficient documentation of the mechanism of injury
  • Failure to specify fracture type or associated injuries
  • Inconsistent clinical findings in the medical record
  • 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 resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

Ensure clarity on whether the fracture is stable or unstable, as this impacts treatment decisions.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Post-operative rehabilitation following patellar fracture repair.

Billing Considerations

Document progress and response to therapy to support ongoing treatment needs.

Coding Guidelines

Inclusion Criteria

Use S82.001 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code is used only when the fracture type is unspecified
  • Include additional codes for any associated injuries or conditions as necessary

Exclusion Criteria

Do NOT use S82.001 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 severe joint degeneration.

Documentation Requirements

Document the need for total knee arthroplasty due to complications from the fracture.

Specialty Considerations

Orthopedic surgeons should ensure that all pre-operative assessments are documented.

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 granularity of data collected and enhancing the ability to track treatment outcomes and complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collected and enhancing the ability to track treatment outcomes and complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the granularity of data collected and enhancing the ability to track treatment outcomes and complications.

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 S82.001 and S82.002?

S82.001 is used for unspecified fractures of the right patella, while S82.002 is specifically for displaced fractures. Accurate documentation is crucial to determine the appropriate code.