icd 10 code for status post patellar fracture

What is the ICD 10 code for left patellar fracture?

ICD-10-CM Code for Unspecified fracture of left patella, initial encounter for closed fracture S82. 002A.

What type of fracture is a patella fracture?

Closed Fracture Most types of patella fractures are closed fractures, in which the patella does not break through the skin. Some types of closed fractures may be treated without surgery.

What are the clinical features of a patellar fracture?

The most common symptoms of a patellar fracture are pain and swelling in the front of the knee. Other symptoms may include: Bruising. Inability to straighten the knee or keep it extended in a straight leg raise.

What is an indirect fracture of a patella?

Fractures of the patella may result from either direct or indirect mechanisms. The classic indirect mechanism is a fall on the feet in which the quadriceps eccentrically fire to decelerate the body. When the force of the fall overwhelms the resistance to knee flexion, the extensor mechanism fails.

What is the most common type of patellar fracture?

The most common fracture pattern is a simple 2-part diversion caused by a direct blow (i.e. dashboard injury). As a result of the bony lesion the extensor mechanism of the knee joint can become insufficient.

What is a distal pole patella fracture?

Fractures of the inferior pole of the patella are a unique type of patellar fracture in which the patella is extra-articularly avulsed by the patellar tendon. Such fractures account for 5 to 22.4% of all patellar fractures [1, 2] and are usually comminuted [3].

What is the most common complication following patellar fracture surgery?

Abstract. Introduction: The most common major complications following surgical fixation of patellar fractures are infection, nonunion and reoperation.

How do you recover from a fractured patella?

Some simple patellar fractures can be treated by wearing a cast or splint until the bone heals. In most patellar fractures, however, the pieces of bone move out of place when the injury occurs. For these more complicated fractures, surgery is needed to repair the kneecap.

What type of bone is your patella?

sesamoid boneThe patella is the largest sesamoid bone in the human body and is located anterior to knee joint within the tendon of the quadriceps femoris muscle, providing an attachment point for both the quadriceps tendon and the patellar ligament.

What is a closed sleeve fracture patella?

Patellar sleeve (avulsion) fractures are rare injuries occurring in the skeletally immature population. This is an important diagnosis as the displaced bone-forming tissue will continue to grow and ossify, enlarging, and possibly duplicating the patella.

How long does it take for a nondisplaced patella fracture to heal?

Most people will be feeling good in about six weeks, and able to return to all of their normal activities within three to six months. Some people report long-term symptoms of pain or stiffness, and some choose to continue wearing a knee brace for support.

What is direct force in fracture?

Direct force – a blow that breaks the bone at the point of impact, eg. A rock falls on an arm; a steering wheel hits the rib cage. Indirect force – the bone breaks a distance away from the point of impact, eg. You fall on your outstretched hand and break your upper arm.

What type of bone is your patella?

sesamoid boneThe patella is the largest sesamoid bone in the human body and is located anterior to knee joint within the tendon of the quadriceps femoris muscle, providing an attachment point for both the quadriceps tendon and the patellar ligament.

What is a nondisplaced fracture?

A nondisplaced fracture is one in which the bone cracks or breaks but retains its proper alignment. Nondisplaced fractures often require only bracing, booting or casting treatment.

What is an osteochondral fracture?

An osteochondral fracture is considered an injury that damages the cartilage and underlying subchondral bone. Alternatively, a chondral fracture involves only the cartilage without penetration through the subchondral bone. Osteochondral/chondral fractures are related to trauma and may present acutely.

What is a comminuted fracture?

Comminuted fractures are a type of broken bone. The term comminuted fracture refers to a bone that is broken in at least two places. Comminuted fractures are caused by severe traumas like car accidents. You will need surgery to repair your bone, and recovery can take a year or longer. Appointments 216.444.2606.

What is the ICd 10 code for traumatic fracture?

Personal history of (healed) traumatic fracture 1 Z87.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z87.81 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z87.81 - other international versions of ICD-10 Z87.81 may differ.

When will the ICd 10 Z87.81 be released?

The 2022 edition of ICD-10-CM Z87.81 became effective on October 1, 2021.

What is PDPM in Medicare?

Under the Payment-Driven Payment Model (PDPM), the selection of the primary medical diagnosis recorded in the Minimum Data Set (MDS) item I0020B plays a factor in the Medicare Prospective Payment System (PPS) methodology.

Can aftercare Z codes be used for traumatic fractures?

According to the CMS ICD-10-CM Official Guidelines for Coding and Reporting for Fiscal Year 2021, the aftercare Z codes should not be used for aftercare of traumatic fractures. For aftercare of a traumatic fracture, assign the acute fracture code with the appropriate 7th character. Here are examples of the difference:

What is the ICD code for fracture of femur?

Use a child code to capture more detail. ICD Code S72 is a non-billable code. To code a diagnosis of this type, you must use one of the seven child codes of S72 that describes the diagnosis 'fracture of femur' in more detail.

What is the code for fracture of lower leg and ankle?

Fracture of lower leg and ankle - instead, use code S82.-

What is a femoral fracture?

A femoral fracture is a bone fracture that involves the femur.

What is the code for traumatic fracture?

Reason for encounter: Aftercare for traumatic fracture is reported with code S82.224D, Nondisplaced transverse fracture of shaft of right tibia, subsequent encounter for closed fracture with routine healing.

What is the aftercare code for a fracture?

Aftercare for injuries is reported with a V-code in ICD-9-CM. However, aftercare of injuries in ICD-10-CM is captured with the seventh character “D,” specifically denoting routine care following most injuries. For fractures, additional seventh characters for subsequent encounters apply, depending on whether the fracture is open or closed and whether the healing is routine or delayed, with nonunion or malunion.

What is the code for aftercare after explantation of a joint?

Aftercare following explantation of a joint prosthesis is reported with a code from category Z47, denoting orthopedic aftercare. Aftercare following explantation of a joint prosthesis (Z47.3-) may be reported for a staged procedure or an encounter for evaluation of planned insertion of a new joint prosthesis following prior explantation of a joint prosthesis. In ICD-10-CM, aftercare for explantation of a joint prosthesis is specific to site.

What is the ICd 10 code for aftercare?

Aftercare codes are found in categories Z42-Z49 and Z51. Aftercare is one of the 16 types of Z-codes covered in the 2012 ICD-10-CM Official Guidelines and Reporting. Aftercare visit codes cover situations occurring when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or care for the long-term consequences of the disease.

When the reason for an encounter is aftercare following a procedure or injury, should the 2012 ICD-10-CM?

When the reason for an encounter is aftercare following a procedure or injury, the 2012 ICD-10-CM Official Guidelines and Reporting should be consulted to ensure that the correct code is assigned. Codes for reporting most types of aftercare are found in Chapter 21. However, aftercare related to injuries is reported with codes from Chapter 19, using seventh-character extensions to identify the service as aftercare.

What is the code for antineoplastic radiation?

Codes for encounters for antineoplastic radiation, chemotherapy and immunotherapy (Z51.0, Z51.1-) are assigned if the sole reason for the encounter is antineoplastic therapy – even if the patient still has the neoplastic disease.