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ICD-10 Guide
ICD-10 CodesS82.031

S82.031

Billable

Displaced transverse fracture of right patella

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

Code Description

ICD-10 S82.031 is a billable code used to indicate a diagnosis of displaced transverse fracture of right patella.

Key Diagnostic Point:

A displaced transverse fracture of the right patella is a specific type of knee injury characterized by a break in the patella (kneecap) that occurs across its width, resulting in the two fragments being misaligned. This injury typically arises from high-impact trauma, such as falls, sports injuries, or vehicular accidents. The displacement of the fracture can lead to significant pain, swelling, and difficulty in knee movement. Patients may present with an inability to extend the knee fully, and physical examination often reveals tenderness over the patella, swelling, and sometimes visible deformity. Imaging studies, particularly X-rays, are essential for confirming the diagnosis and assessing the degree of displacement. Treatment often involves immobilization, pain management, and in some cases, surgical intervention to realign the fragments and stabilize the patella. Rehabilitation is crucial for restoring function and strength to the knee joint post-injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and displacement
  • Differentiation from non-displaced fractures and other knee injuries
  • Potential for surgical intervention requiring additional coding
  • Variability in treatment protocols based on fracture severity

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries or complications
  • Incorrect coding of surgical procedures related to the fracture
  • Lack of follow-up documentation for rehabilitation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Fracture repair, post-operative care, and rehabilitation assessments.

Billing Considerations

Ensure documentation reflects the complexity of the fracture and any surgical interventions performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans and progress notes are necessary.

Common Clinical Scenarios

Post-fracture rehabilitation, pain management, and functional assessments.

Billing Considerations

Document functional limitations and progress to support the need for therapy.

Coding Guidelines

Inclusion Criteria

Use S82.031 When
  • Follow official ICD
  • CM guidelines for coding fractures, including specificity regarding the location and type of fracture
  • Ensure compliance with guidelines for coding associated injuries and complications

Exclusion Criteria

Do NOT use S82.031 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27400CPT Code

Arthroplasty, knee, total

Clinical Scenario

Used in cases where the fracture leads to severe joint damage requiring replacement.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Orthopedic surgeons must document the extent of damage and rationale for arthroplasty.

27500CPT Code

Open treatment of patellar fracture

Clinical Scenario

When surgical intervention is required for displaced fractures.

Documentation Requirements

Detailed operative notes and post-operative care plans.

Specialty Considerations

Ensure all surgical details are captured for accurate coding.

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 ability to denote displacement, which is crucial for treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the ability to denote displacement, which is crucial for treatment planning and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 non-displaced fracture?

A displaced fracture means that the bone fragments are not aligned, while a non-displaced fracture means the bone remains in its normal position despite the break.

When should I use S82.031 instead of S82.030?

Use S82.031 when the fracture is confirmed to be displaced, as this impacts treatment and recovery.