ICD-10 Coding for Left Knee Fracture(S82.012A, S82.015D)
Complete ICD-10-CM coding and documentation guide for Left Knee Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Knee Fracture
S82.0-S82.9Primary Range
Fractures of the lower leg, including ankle
This range includes specific codes for fractures of the patella, tibia, and fibula, which are relevant for coding left knee fractures.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S82.012A | Displaced osteochondral fracture of left patella, initial encounter for closed fracture | Use for initial encounter of a displaced osteochondral fracture of the left patella. |
|
| S82.015D | Nondisplaced osteochondral fracture of left patella, subsequent encounter for fracture with routine healing | Use for subsequent encounters of a nondisplaced osteochondral fracture of the left patella. |
|
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 left knee fracture
Essential facts and insights about Left Knee Fracture
Primary ICD-10-CM Codes for left knee fracture
Decision Criteria
clinical Criteria
- Presence of articular surface disruption on imaging
Applicable To
- Displaced fracture of left patella
Excludes
- Stress fracture of patella
Clinical Validation Requirements
- X-ray showing articular surface disruption
- Clinical notes indicating inability to extend knee
Code-Specific Risks
- Ensure correct 7th character for encounter type.
Coding Notes
- Ensure documentation specifies fracture type and encounter type.
S82.015D - Nondisplaced osteochondral fracture of left patella, subsequent encounter for fracture with routine healing
Use for subsequent encounters of a nondisplaced osteochondral fracture of the left patella.
Applicable To
- Nondisplaced fracture of left patella
Excludes
- Stress fracture of patella
Clinical Validation Requirements
- Healing callus on CT
- Physical therapy notes showing range of motion improvement
Coding Notes
Ensure documentation specifies fracture type and healing status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Periprosthetic fracture around internal prosthetic knee joint, initial encounter
M97.01XADifferential 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 Left Knee Fracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S82.012A.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure imaging reports are included in documentation., Review clinical notes for completeness.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify encounter type and healing status before assigning the 7th character.
Impact
Incorrect classification of fracture type can lead to audit discrepancies.
Mitigation Strategy
Implement regular training on fracture classification and coding updates.
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 Left Knee Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Knee Fracture
Use these documentation templates to ensure complete and accurate documentation for Left Knee Fracture. These templates include all required elements for proper coding and billing.
Initial encounter for displaced left patellar fracture
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Fracture type and displacement
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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