2021 ICD-10-CM Code S82.092N
Other fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
Valid for Submission
S82.092N is a billable diagnosis code used to specify a medical diagnosis of other fracture of left patella, subsequent encounter for open fracture type iiia, iiib, or iiic with nonunion. The code S82.092N is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S82.092N is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like other fracture of left patella for open fracture type iiia iiib or iiic with nonunion. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
ICD-10: | S82.092N |
Short Description: | Oth fx left patella, subs for opn fx type 3A/B/C w nonunion |
Long Description: | Other fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion |
Code Classification
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code S82.092N is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2021.
- 564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC - Relative Weight: 1.5138
- 565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC - Relative Weight: 1.0063
- 566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC - Relative Weight: 0.7515
Present on Admission (POA)
S82.092N is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here .
CMS POA Indicator Options and Definitions
POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert S82.092N to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S82.092N its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 733.82 - Nonunion of fracture (Approximate Flag)
Information for Patients
Fractures
Also called: Broken bone
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
- Intense pain
- Deformity - the limb looks out of place
- Swelling, bruising, or tenderness around the injury
- Numbness and tingling
- Problems moving a limb
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.
- Broken bone (Medical Encyclopedia)
- Closed reduction of a fractured bone (Medical Encyclopedia)
- Closed reduction of a fractured bone - aftercare (Medical Encyclopedia)
[Learn More]
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
- ACL reconstruction (Medical Encyclopedia)
- Anterior crucate ligament (ACL) injury (Medical Encyclopedia)
- Anterior cruciate ligament (ACL) injury -- aftercare (Medical Encyclopedia)
- Anterior knee pain (Medical Encyclopedia)
- Baker cyst (Medical Encyclopedia)
- Broken kneecap - aftercare (Medical Encyclopedia)
- Collateral ligament (CL) injury -- aftercare (Medical Encyclopedia)
- Getting your home ready - knee or hip surgery (Medical Encyclopedia)
- Knee arthroscopy (Medical Encyclopedia)
- Knee MRI scan (Medical Encyclopedia)
- Knee pain (Medical Encyclopedia)
- Meniscus tears -- aftercare (Medical Encyclopedia)
- Osgood-Schlatter disease (Medical Encyclopedia)
[Learn More]
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)