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ICD-10 Guide
ICD-10 CodesS82.026

S82.026

Billable

Nondisplaced longitudinal fracture of unspecified patella

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

Code Description

ICD-10 S82.026 is a billable code used to indicate a diagnosis of nondisplaced longitudinal fracture of unspecified patella.

Key Diagnostic Point:

A nondisplaced longitudinal fracture of the patella refers to a fracture that occurs along the length of the patella (kneecap) without any significant displacement of the bone fragments. This type of fracture is often the result of direct trauma to the knee, such as a fall or a direct blow, and can also occur due to overuse or stress on the knee joint. Patients may present with localized pain, swelling, and difficulty in knee extension. The diagnosis is typically confirmed through imaging studies such as X-rays, which can reveal the fracture line without displacement. Treatment usually involves conservative management, including rest, ice, compression, and elevation (RICE), along with immobilization in a brace or splint. In some cases, physical therapy may be recommended to restore strength and range of motion. Surgical intervention is rarely required unless there are complications or associated injuries to the ligaments or cartilage. Understanding the implications of this fracture is crucial for effective management and rehabilitation, as it can impact the patient's mobility and overall knee function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms among patients
  • Need for precise imaging interpretation
  • Potential for associated injuries (e.g., ligament tears)
  • Differentiation from other types of patellar fractures

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries or conditions
  • Lack of clarity in treatment plans
  • Inconsistent follow-up documentation

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on the mechanism of injury, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with knee pain after trauma, athletes with overuse injuries, and elderly patients with falls.

Billing Considerations

Ensure accurate imaging reports are included to support the diagnosis and treatment plan.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises, patient response, and functional outcomes.

Common Clinical Scenarios

Rehabilitation following a nondisplaced patellar fracture, post-operative care for associated injuries.

Billing Considerations

Documenting patient compliance and progress is crucial for billing and treatment efficacy.

Coding Guidelines

Inclusion Criteria

Use S82.026 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on the treatment plan and follow
  • up care

Exclusion Criteria

Do NOT use S82.026 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27400CPT Code

Arthroscopy, knee, diagnostic

Clinical Scenario

Used when assessing knee injuries including fractures.

Documentation Requirements

Document the reason for the procedure and findings.

Specialty Considerations

Orthopedic specialists should ensure detailed operative notes.

27500CPT Code

Open treatment of patellar fracture

Clinical Scenario

Used if surgical intervention is required for displaced fractures.

Documentation Requirements

Complete surgical reports and post-operative care notes.

Specialty Considerations

Ensure accurate coding based on the surgical approach.

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 accuracy of patient records and treatment plans. S82.026 provides a clear distinction for nondisplaced fractures, facilitating better management and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of patient records and treatment plans. S82.026 provides a clear distinction for nondisplaced fractures, facilitating better management and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 fracture?

A displaced fracture involves a separation of the bone fragments, while a nondisplaced fracture means the bone fragments remain aligned. This distinction affects treatment and coding.

How should I document a nondisplaced fracture?

Document the mechanism of injury, imaging results, treatment plan, and any follow-up care to ensure accurate coding and billing.