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ICD-10 Guide
ICD-10 CodesS82.034

S82.034

Billable

Nondisplaced transverse fracture of right patella

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

Code Description

ICD-10 S82.034 is a billable code used to indicate a diagnosis of nondisplaced transverse fracture of right patella.

Key Diagnostic Point:

A nondisplaced transverse fracture of the right patella occurs when the patella, or kneecap, experiences a fracture that does not result in the bone fragments being displaced from their normal anatomical position. This type of fracture is often caused by direct trauma to the knee, such as a fall or a direct blow, and can also occur in sports-related injuries. Patients may present with localized pain, swelling, and difficulty in knee extension. Diagnosis is typically confirmed through imaging studies, such as X-rays, which reveal the fracture line across the patella. Treatment often involves conservative management, including rest, ice, compression, and elevation (RICE), along with immobilization using a knee brace or splint. In some cases, physical therapy may be recommended to restore range of motion and strength. Surgical intervention is rarely required unless there are complications or associated injuries to surrounding structures. Understanding the nature of this fracture is crucial for appropriate management and rehabilitation, as well as for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from displaced fractures
  • Need for precise documentation of fracture type
  • Potential for associated ligament injuries
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of fracture details
  • Failure to note associated injuries
  • Incorrect coding of fracture type
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on fracture type, treatment plan, and follow-up care.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or direct trauma.

Billing Considerations

Ensure that all imaging studies are documented and that any surgical interventions are clearly described.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Patients recovering from knee fractures requiring rehabilitation.

Billing Considerations

Document functional limitations and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S82.034 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is documented as nondisplaced and specifying the right side
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S82.034 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27506CPT Code

Open treatment of patellar fracture

Clinical Scenario

Used when surgical intervention is required for a displaced fracture.

Documentation Requirements

Surgical notes detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and any complications.

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 billing. S82.034 provides a clear distinction between nondisplaced and displaced fractures, which is essential for treatment planning.

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 billing. S82.034 provides a clear distinction between nondisplaced and displaced fractures, which is essential for treatment planning.

Reimbursement & Billing Impact

billing. S82.034 provides a clear distinction between nondisplaced and displaced fractures, which is essential for treatment planning.

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 nondisplaced and displaced fracture?

A nondisplaced fracture means the bone cracks but maintains its proper alignment, while a displaced fracture involves the bone fragments moving out of alignment.