ICD-10 Coding for Patella Fracture(S82.02XA, S82.031B, S82.09XS)
Complete ICD-10-CM coding and documentation guide for Patella Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Patella Fracture
S82.0Primary Range
Fracture of patella
This range includes all types of patella fractures, specifying laterality, displacement, and encounter type.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S82.02XA | Displaced longitudinal fracture of right patella, initial encounter | Use for initial encounter of a displaced longitudinal fracture of the right patella. |
|
| S82.031B | Open transverse fracture of left patella, Gustilo type II | Use for open transverse fractures of the left patella with Gustilo type II classification. |
|
| S82.09XS | Sequela of comminuted patella fracture | Use for sequela of comminuted patella fractures. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for displaced patella fracture
Essential facts and insights about Patella Fracture
Primary ICD-10-CM Codes for patella fracture
Decision Criteria
clinical Criteria
- X-ray shows displaced longitudinal fracture
Applicable To
- Displaced fracture of right patella
Excludes
- Non-displaced fracture of right patella
Clinical Validation Requirements
- X-ray confirmation of displaced longitudinal fracture
Code-Specific Risks
- Ensure displacement is documented to avoid incorrect coding.
Coding Notes
- Ensure documentation specifies 'displaced' and 'right' for accurate coding.
S82.031B - Open transverse fracture of left patella, Gustilo type II
Use for open transverse fractures of the left patella with Gustilo type II classification.
Applicable To
- Open fracture with minimal soft tissue damage
Excludes
- Closed fracture of left patella
Clinical Validation Requirements
- Documentation of open fracture with Gustilo classification
Coding Notes
Ensure Gustilo classification is included in the documentation.
S82.09XS - Sequela of comminuted patella fracture
Use for sequela of comminuted patella fractures.
Applicable To
- Chronic patellar instability due to prior comminuted fracture
Excludes
- Acute comminuted fracture
Clinical Validation Requirements
- History of comminuted fracture with current instability
Coding Notes
Document the relationship between current condition and prior fracture.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Patella Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.02XA.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure Gustilo classification is documented in the operative report.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in patient records.
Mitigation Strategy
Ensure documentation includes laterality, fracture type, and encounter type.
Impact
High risk of audit for using unspecified codes when specific codes are available.
Mitigation Strategy
Ensure complete documentation to support specific code use.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Patella Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Patella Fracture
Use these documentation templates to ensure complete and accurate documentation for Patella Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for displaced patella fracture
Specialty: OrthopedicsRequired Elements
- Patient demographics
- Mechanism of injury
- Fracture type and laterality
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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