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ICD-10 Guide
ICD-10 CodesS82.014

S82.014

Billable

Nondisplaced osteochondral fracture of right patella

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

Code Description

ICD-10 S82.014 is a billable code used to indicate a diagnosis of nondisplaced osteochondral fracture of right patella.

Key Diagnostic Point:

A nondisplaced osteochondral fracture of the right patella refers to a specific type of knee injury where there is a fracture involving the cartilage and underlying bone of the patella, but the fragments remain in their normal anatomical position. This type of fracture often occurs due to direct trauma or a fall, and it can lead to pain, swelling, and limited range of motion in the knee. Patients may experience difficulty in weight-bearing activities and may present with tenderness over the patella. Diagnosis is typically confirmed through imaging studies such as X-rays or MRI, which can reveal the fracture line and assess any associated soft tissue injuries. Treatment usually involves conservative management, including rest, ice, compression, and elevation (RICE), along with physical therapy to restore function. In some cases, surgical intervention may be necessary if there is significant joint instability or if conservative measures fail to alleviate symptoms. Understanding the nuances of this injury is crucial for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific anatomical terminology related to the knee.
  • Differentiation between displaced and nondisplaced fractures.
  • Knowledge of associated conditions such as ligament tears or meniscus injuries.
  • Potential for co-morbid conditions affecting treatment and coding.

Audit Risk Factors

  • Inadequate documentation of the fracture type.
  • Failure to specify laterality (right vs. left).
  • Lack of imaging reports to support the diagnosis.
  • Misclassification of the fracture as displaced.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and follow-up assessments.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents.

Billing Considerations

Ensure documentation reflects the mechanism of injury and any associated injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation protocols and patient responses.

Common Clinical Scenarios

Rehabilitation following knee injuries, including patellar fractures.

Billing Considerations

Document functional limitations and progress towards goals.

Coding Guidelines

Inclusion Criteria

Use S82.014 When
  • According to ICD
  • 10 coding guidelines, S82
  • 014 should be used when the fracture is confirmed as nondisplaced and specifically involves the right patella
  • Coders must ensure that the documentation supports the diagnosis and that the fracture is not classified under other codes for displaced fractures or different locations

Exclusion Criteria

Do NOT use S82.014 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 fractures.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Orthopedic surgeons must ensure that the procedure aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including the differentiation between displaced and nondisplaced fractures. This specificity improves the accuracy of patient records and enhances the ability to track outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the differentiation between displaced and nondisplaced fractures. This specificity improves the accuracy of patient records and enhances the ability to track outcomes and resource utilization.

Reimbursement & Billing Impact

reimbursement and compliance with payer requirements.

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 a displaced and nondisplaced osteochondral fracture?

A displaced fracture involves a separation of the fracture fragments, while a nondisplaced fracture means the fragments remain in their normal anatomical position. This distinction is crucial for treatment and coding.