2022 ICD-10-CM Code S82.023
Displaced longitudinal fracture of unspecified patella

Version 2022
ICD-10:S82.023
Short Description:Displaced longitudinal fracture of unspecified patella
Long Description:Displaced longitudinal fracture of unspecified patella
Status: Not Valid for Submission

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the knee and lower leg (S80-S89)
      • Fracture of lower leg, including ankle (S82)

S82.023 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of displaced longitudinal fracture of unspecified patella. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

The ICD-10-CM code S82.023 might also be used to specify conditions or terms like open fracture of patella or open fracture patella, vertical.

Unspecified diagnosis codes like S82.023 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Specific Coding for Displaced longitudinal fracture of unspecified patella

Non-specific codes like S82.023 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for displaced longitudinal fracture of unspecified patella:

  • BILLABLE CODE - Use S82.023A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.023B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.023C for or IIIC
  • BILLABLE CODE - Use S82.023D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.023E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.023F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.023G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.023H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.023J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.023K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.023M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.023N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.023P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.023Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.023R for or IIIC with malunion
  • BILLABLE CODE - Use S82.023S for sequela

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Information for Patients


Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Knee Injuries and Disorders

Your knee joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the knee joint move. When any of these structures is hurt or diseased, you have knee problems. Knee problems can cause pain and difficulty walking.

Knee problems are very common, and they occur in people of all ages. Knee problems can interfere with many things, from participation in sports to simply getting up from a chair and walking. This can have a big impact on your life.

The most common disease affecting the knee is osteoarthritis. The cartilage in the knee gradually wears away, causing pain and swelling.

Injuries to ligaments and tendons also cause knee problems. A common injury is to the anterior cruciate ligament (ACL). You usually injure your ACL by a sudden twisting motion. ACL and other knee injuries are common sports injuries.

Treatment of knee problems depends on the cause. In some cases your doctor may recommend knee replacement.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


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Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)