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ICD-10 Coding for Patellar Fracture(S82.021A, S82.024A)

Complete ICD-10-CM coding and documentation guide for Patellar Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Kneecap FractureFracture of the Patella

Related ICD-10 Code Ranges

Complete code families applicable to Patellar Fracture

S82.0-Primary Range

Fracture of patella

This range includes all specific codes for different types of patellar fractures, including laterality, displacement, and encounter type.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S82.021ADisplaced longitudinal fracture of right patella, initial encounterUse when documenting a displaced longitudinal fracture of the right patella during the initial encounter.
  • X-ray showing displaced longitudinal fracture
  • Clinical documentation of initial encounter
S82.024ANondisplaced longitudinal fracture of right patella, initial encounterUse when documenting a nondisplaced longitudinal fracture of the right patella during the initial encounter.
  • X-ray showing nondisplaced longitudinal fracture
  • Clinical documentation of initial encounter

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 patellar fracture

Essential facts and insights about Patellar Fracture

The ICD-10 code for a displaced longitudinal fracture of the right patella, initial encounter, is S82.021A.

Primary ICD-10-CM Codes for patellar fracture

Displaced longitudinal fracture of right patella, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Presence of a displaced longitudinal fracture on imaging

documentation Criteria

  • Initial encounter documentation

Applicable To

  • Displaced longitudinal fracture of right patella

Excludes

  • Bipartite patella (Q74.1)

Clinical Validation Requirements

  • X-ray showing displaced longitudinal fracture
  • Clinical documentation of initial encounter

Code-Specific Risks

  • Risk of using unspecified codes when details are available.

Coding Notes

  • Ensure laterality and encounter type are documented to avoid unspecified codes.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Fall on same level due to slipping, initial encounter

W01.xxxA
Use to document the external cause of the fracture.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Bipartite patella

Q74.1
Differentiate by absence of trauma and superolateral location on imaging.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Patellar Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.021A.

Impact

Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.

Mitigation Strategy

Always document the side of the body affected.

Impact

Reimbursement: May result in reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the quality of healthcare data.

Mitigation Strategy

Ensure all documentation includes specific details such as laterality, type, and encounter.

Impact

Using unspecified codes when specific codes are available.

Mitigation Strategy

Ensure detailed documentation to support specific code selection.

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 Patellar Fracture, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Patellar Fracture

Use these documentation templates to ensure complete and accurate documentation for Patellar Fracture. These templates include all required elements for proper coding and billing.

Initial encounter for patellar fracture

Specialty: Orthopedics

Required Elements

  • Fracture type
  • Laterality
  • Displacement
  • Encounter type
  • External cause

Example Documentation

Patient presents with a displaced longitudinal fracture of the right patella, initial encounter, due to a fall on the same level.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Right knee fracture.
Good Documentation Example
Displaced longitudinal fracture of right patella, initial encounter.
Explanation
The good example provides specific details required for accurate coding.

Need help with ICD-10 coding for Patellar Fracture? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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