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ICD-10 Guide
ICD-10 CodesS82.01

S82.01

Billable

Osteochondral fracture of patella

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

Code Description

ICD-10 S82.01 is a billable code used to indicate a diagnosis of osteochondral fracture of patella.

Key Diagnostic Point:

An osteochondral fracture of the patella involves a fracture that affects both the bone and the cartilage of the patella (kneecap). This type of injury typically occurs due to high-impact trauma, such as a fall or a direct blow to the knee, or as a result of repetitive stress. Clinically, patients may present with acute knee pain, swelling, and limited range of motion. The fracture can lead to joint instability and may predispose the patient to future osteoarthritis if not properly managed. Diagnosis is often confirmed through imaging studies such as X-rays or MRI, which can reveal the extent of the fracture and any associated cartilage damage. Treatment options may include conservative management with rest, ice, and physical therapy, or surgical intervention to repair the fracture and restore joint function. The prognosis depends on the severity of the fracture and the effectiveness of the treatment plan.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of both bone and cartilage injuries
  • Differentiation from other knee injuries such as ligament tears
  • Need for precise documentation of imaging findings
  • Potential for associated conditions like osteoarthritis

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the type of fracture (e.g., displaced vs. non-displaced)
  • Lack of imaging reports to support the diagnosis
  • Misclassification of the injury as a simple fracture

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure clarity in documenting the extent of cartilage involvement and any associated procedures performed.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient response to therapy.

Common Clinical Scenarios

Rehabilitation following surgical repair of osteochondral fractures.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use S82.01 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type and associated conditions
  • Include details on the mechanism of injury and any imaging results that support the diagnosis

Exclusion Criteria

Do NOT use S82.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27420CPT Code

Arthroscopy, knee, diagnostic

Clinical Scenario

Used when assessing the extent of an osteochondral fracture.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Orthopedic surgeons must provide detailed operative notes.

27422CPT Code

Arthroscopy, knee, surgical

Clinical Scenario

Used for surgical repair of an osteochondral fracture.

Documentation Requirements

Comprehensive operative report detailing the procedure.

Specialty Considerations

Ensure accurate coding of any additional procedures performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of osteochondral fractures, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of osteochondral fractures, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource utilization.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource utilization.

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 an osteochondral fracture and a simple fracture?

An osteochondral fracture involves both the bone and the cartilage, while a simple fracture affects only the bone. This distinction is crucial for accurate coding and treatment planning.