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v1.0.0
ICD-10 Guide
ICD-10 CodesS82.013

S82.013

Billable

Displaced osteochondral fracture of unspecified patella

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

Code Description

ICD-10 S82.013 is a billable code used to indicate a diagnosis of displaced osteochondral fracture of unspecified patella.

Key Diagnostic Point:

A displaced osteochondral fracture of the patella involves a break in the bone and cartilage of the kneecap, which can occur due to trauma or injury. This type of fracture is characterized by the displacement of the fracture fragments, which can lead to joint instability and impaired knee function. Patients may present with acute pain, swelling, and difficulty bearing weight on the affected leg. The diagnosis is typically confirmed through imaging studies such as X-rays or MRI, which can reveal the extent of the fracture and any associated soft tissue injuries. Treatment often involves conservative management, including rest, ice, compression, and elevation (RICE), as well as physical therapy. In more severe cases, surgical intervention may be necessary to realign the fragments and stabilize the joint. The prognosis depends on the severity of the fracture, the patient's age, and their overall health, with many individuals experiencing a full recovery with appropriate treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and non-displaced fractures
  • Identifying associated soft tissue injuries
  • Understanding the implications of osteochondral involvement
  • Variability in documentation across specialties

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries
  • Misclassification of fracture severity
  • Inconsistent terminology used in clinical notes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant details about the fracture type and treatment plan are documented.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation plans.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture or surgery.

Billing Considerations

Documenting the impact of the fracture on daily activities and recovery progress.

Coding Guidelines

Inclusion Criteria

Use S82.013 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 clinical evaluations

Exclusion Criteria

Do NOT use S82.013 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27405CPT Code

Arthroscopy, knee, diagnostic, with or without synovial biopsy

Clinical Scenario

Used for diagnostic evaluation of knee injuries, including osteochondral fractures.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Orthopedic surgeons should provide detailed operative notes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of knee injuries, including displaced osteochondral fractures, improving the accuracy of patient records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of knee injuries, including displaced osteochondral fractures, improving the accuracy of patient records and billing.

Reimbursement & Billing Impact

billing.

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 displaced and non-displaced osteochondral fractures?

Displaced fractures involve a separation of the fracture fragments, which can lead to joint instability, while non-displaced fractures do not have this separation and may be less severe.