Health Information Management

Tip: Coding for patella fractures in ICD-10-CM

APCs Insider, December 13, 2013

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The increased specificity available in ICD-10-CM is seen with the wide breadth of codes available to code for fractures of the patella, which begin at S82.0 (fracture of patella).

Each entry also contains codes to report laterality (left or right). If the physician does not specify the side, ICD-10-CM contains codes for an unspecified leg. Many entries also contain the ability to code for a displaced or nondisplaced fracture. If the physician does not specify, coders will default to displaced.

Most codes for knee fractures also require a seventh character. These characters allow coders to report more specific information about the encounter, and whether the fracture was open or closed, along with its classification using the Gustilo-Anderson scale.

Category S82.- (fracture of lower leg, including ankle) also contains an instructional note to code fractures that are not designated open or closed as closed.

This tip is adapted from “ICD-10 anatomy refresher: Knee” in the December issue of Briefings on APCs.



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