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S82.002A
ICD-10-CM
Left Patella Fracture

Find comprehensive information on Left Patella Fracture diagnosis, including clinical documentation, medical coding (ICD-10-CM, CPT), healthcare guidelines, and treatment protocols. Learn about patella fracture types, symptoms, diagnostic imaging (X-ray, MRI), surgical and non-surgical management, rehabilitation, and long-term prognosis. This resource offers valuable insights for physicians, coders, and healthcare professionals dealing with patellar fractures.

Also known as

Fracture of the left kneecap
Left kneecap fracture

Diagnosis Snapshot

Key Facts
  • Definition : Break in the kneecap (patella) bone.
  • Clinical Signs : Knee pain, swelling, bruising, difficulty straightening knee, inability to walk.
  • Common Settings : Sports injuries, falls, direct blows to the knee.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S82.002A Coding
S82.0-

Fracture of patella

This range encompasses fractures of the patella.

S82-

Fracture of lower leg

Includes fractures of the tibia, fibula, and patella.

S80-S89

Fractures of lower extremity

Covers fractures from the hip to the toes, including the patella.

S00-T88

Injuries, poisonings, etc.

Broad category including various injuries like patella fractures.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the patella fracture closed?

  • Yes

    Is it displaced?

  • No

    Is it specified as open?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left Patella Fracture
Left Patella Dislocation
Left Patellar Chondromalacia

Documentation Best Practices

Documentation Checklist
  • Laterality (left) must be clearly documented.
  • Fracture type (e.g., displaced, comminuted) specified.
  • Mechanism of injury documented (e.g., fall, trauma).
  • Imaging confirmation (e.g., X-ray, CT scan) details.
  • Associated injuries (if any) clearly documented.

Coding and Audit Risks

Common Risks
  • Laterality Unspecified

    Coding left patella fracture without specifying laterality (left) can lead to claim rejection or inaccurate reimbursement. Use ICD-10-CM codes like S82.10-.

  • Fracture Type Missing

    Failing to document specific fracture type (e.g., displaced, open) impacts coding accuracy. ICD-10-CM offers specific codes for different fracture types.

  • Unspecified Initial vs. Subsequent

    Incorrectly coding initial vs. subsequent encounter for a left patella fracture impacts reimbursement. Careful documentation is crucial for proper coding (A, D, or S).

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding: S82.0xx, S82.1xx for specificity.
  • Thorough documentation: mechanism of injury, fracture type, laterality.
  • X-ray imaging: AP, lateral, and sunrise/merchant views crucial for diagnosis.
  • Compliance: proper coding for reimbursement & data integrity.
  • CDI: clear clinical notes to reflect severity & support treatment plan.

Clinical Decision Support

Checklist
  • 1. Lateral knee X-ray: Confirm patella fracture (ICD-10 S82.00).
  • 2. Assess mechanism of injury: Document direct blow/fall (SNOMED CT 286296003).
  • 3. Evaluate for joint effusion/tenderness: Palpate for crepitus.
  • 4. Check Ottawa Knee Rules: Determine further imaging needs.

Reimbursement and Quality Metrics

Impact Summary
  • Left Patella Fracture reimbursement hinges on accurate coding (S72.0-S72.9) impacting hospital case mix index.
  • Coding validation crucial for Left Patella Fracture claims. Denials affect revenue cycle and A/R metrics.
  • Precise documentation of Left Patella Fracture severity (open vs closed) influences MS-DRG assignment and payment.
  • Quality metrics for Left Patella Fracture include pain management, functional recovery, and complication rates.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • ICD-10 S82.009A, unspecified
  • Laterality: Left essential
  • Document fracture type
  • X-ray confirmation vital
  • 7th character A for initial

Documentation Templates

Patient presents with complaints of left knee pain and swelling following a fall onto the left knee.  Mechanism of injury reported as direct blow to the anterior knee.  On physical examination, the patient exhibits tenderness to palpation of the left patella, crepitus with range of motion, and an effusion.  Active and passive range of motion of the left knee is limited due to pain.  Ecchymosis and peripatellar swelling are noted.  Neurovascular examination of the left lower extremity is intact.  Radiographic imaging of the left knee reveals a transverse fracture of the patella.  Diagnosis of left patella fracture is confirmed.  Treatment plan includes immobilization with a knee brace, pain management with NSAIDs, and referral to orthopedics for further evaluation and management.  Differential diagnosis includes patellar tendon rupture, prepatellar bursitis, and chondromalacia patellae.  ICD-10 code S92.001A, unspecified fracture of left patella, initial encounter, is assigned.  Patient education provided regarding activity modification, ice application, and follow-up care.  Prognosis for recovery depends on fracture displacement and stability, and will be further determined by orthopedics.  Patient instructed to follow up with orthopedics within one week.