ICD-10 Coding for Right Patella Fracture(S82.021A, S82.041K)
Complete ICD-10-CM coding and documentation guide for Right Patella Fracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Patella Fracture
S82.001-S82.096Primary Range
Fracture of patella
This range includes specific codes for different types of right patella fractures, including displaced and nondisplaced 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 |
|---|---|---|---|
| S82.021A | Displaced longitudinal fracture of right patella, initial encounter for closed fracture | Use for initial encounters of displaced longitudinal fractures of the right patella. |
|
| S82.041K | Displaced comminuted fracture of right patella, subsequent encounter with nonunion | Use for subsequent encounters of comminuted fractures with nonunion. |
|
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 right patella fracture
Essential facts and insights about Right Patella Fracture
Primary ICD-10-CM Codes for right patella fracture
Decision Criteria
clinical Criteria
- Presence of a displaced longitudinal fracture confirmed by imaging
Applicable To
- Displaced fracture of right patella
Excludes
- Pathological fracture of right patella
Clinical Validation Requirements
- X-ray confirmation of displaced longitudinal fracture
- Documentation of initial encounter
Code-Specific Risks
- Incorrectly coding as nondisplaced or unspecified
Coding Notes
- Ensure documentation specifies fracture type and encounter type.
S82.041K - Displaced comminuted fracture of right patella, subsequent encounter with nonunion
Use for subsequent encounters of comminuted fractures with nonunion.
Applicable To
- Comminuted fracture of right patella
Excludes
- Pathological fracture of right patella
Clinical Validation Requirements
- X-ray confirmation of comminuted fracture
- Documentation of nonunion in subsequent encounter
Coding Notes
Ensure documentation specifies fracture type, encounter type, and healing status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Patella 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: Inaccurate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Ensure Gustilo classification is documented for open fractures, Educate providers on classification importance
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Always specify right or left in the code.
Impact
Coding without specifying right or left can lead to audits.
Mitigation Strategy
Always document and code laterality when known.
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 Right Patella Fracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Patella Fracture
Use these documentation templates to ensure complete and accurate documentation for Right Patella Fracture. These templates include all required elements for proper coding and billing.
Initial Encounter for Right Patella Fracture
Specialty: OrthopedicsRequired Elements
- Fracture type and location
- Encounter type
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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