Treatment FAQ

what is/are the code(s) for the following: closed treatment of a patella fracture

by Clay Feest MD Published 2 years ago Updated 1 year ago

Submit Corresponding Code for Closed Fracture When reporting a closed fracture of the patella, you submit ICD-9 code 822.0 (Closed fracture of patella). The corresponding ICD-10 code is S822.009A (Unspecified fracture of unspecified patella, initial encounter for closed fracture).

Full Answer

What is the CPT code for patellar dislocation?

Code Information. 27562 - CPT® Code in category: Closed treatment of patellar dislocation. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.

What is the treatment for Patella fractures?

Patella Fractures: Approach to Treatment Patellar fracture morphology varies based on the mechanism of injury. Most fractures are either a result of direct impact or through an indirect eccentric extensor contraction injury. Each fracture pattern requires appropriate preoperative planning and individualization of the fixation method. Displ …

Should the global fracture code be reported to the AAOS?

The global fracture code should not be reported. William R. Creevy, MD, is a member of the AAOS Coding, Coverage, and Reimbursement Committee. M. Bradford Henley, MD, MBA, FACS, is treasurer on the AAOS Board of Directors, chair of the AAOS Finance Committee, and liaison to the AAOS Current Procedural Terminology Editorial Panel.

What is the role of meticulous handling in the treatment of patella?

Meticulous handling of the soft-tissue envelope is of the utmost importance, given the patella's tenuous blood supply and limited soft-tissue envelope. Incongruent articular surface can result in detrimental long-term effects; therefore, surgical treatment is directed toward anatomic reduction and fixation.

What is the ICD-10 code for closed fracture?

Unspecified fracture of the lower end of right radius, initial encounter for closed fracture. S52. 501A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD-10 code for fracture right patella?

ICD-10-CM Code for Unspecified fracture of right patella, initial encounter for closed fracture S82. 001A.

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 is the ICD-10 code for right knee fracture?

Unspecified fracture of right patella, initial encounter for closed fracture. S82. 001A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S82.

What is the ICD 10 code for a unspecified fractured patella?

Unspecified fracture of unspecified patella, initial encounter for closed fracture. S82. 009A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S82.

What is procedure code 27524?

CPT® Code 27524 in section: Fracture and/or Dislocation Procedures on the Femur (Thigh Region) and Knee Joint.

What is the ICD 10 code for nondisplaced left patella fracture?

Nondisplaced osteochondral fracture of left patella, initial encounter for closed fracture. S82. 015A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is a left patella?

The patella is a small bone located in front of the knee joint — where the thighbone (femur) and shinbone (tibia) meet. It protects the knee and connects the muscles in the front of the thigh to the tibia.

What is a nondisplaced fracture of the patella?

Stable patella fracture: In a stable fracture, also called a “nondisplaced” fracture, the broken pieces of your bone remain essentially in the right place. They may still be connected to each other, or they may be separated by a millimeter or two. This type of fracture usually heals well without surgery.

What is the ICD 10 code for knee injury?

Superficial injury of knee and lower leg ICD-10-CM S80. 912A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):

What is the ICD 10 code for pain in left knee?

M25. 562 Pain in left knee - ICD-10-CM Diagnosis Codes.

Where is the patella located?

knee jointThe 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 the NCCI manual?

NCCI Manual#N#This is what the NCCI Manual states:#N#The CPT codes for closed, percutaneous, or open treatment of fractures or dislocations include the application of casts, splints, or strapping. The CPT codes for casting/splinting/strapping shall not be reported separately.#N#If a physician treats a fracture, dislocation, or injury with an initial cast, strap, or splint and also assumes the follow-up care, the physician cannot report the casting/splinting/strapping CPT codes since these services are included in the fracture and/or dislocation CPT codes.#N#If a practitioner treats a fracture, dislocation, or injury with a cast, splint, or strap as an initial service without any other definitive procedure or treatment and only expects to perform the initial care, the physician may report an evaluation and management (E&M) service, a casting/splinting/ strapping CPT code, and a cast/splint/strap supply code#N#An evaluation and management (E&M) service, including emergency department E&M, may be reported with a casting/splinting/strapping CPT code if and only if the E&M service is significant and separately identifiable. Casting/splinting/strapping CPT codes are minor surgical procedures with a “000” global day period. Global surgery rules for minor surgical procedures do not allow a physician to report an E&M service related to deciding whether to perform a minor surgical procedure.

Do you need to document fracture care?

Fracture care needs to be documented#N#Keep mind that physicians see things through their point of view. Coders have to concerned with documentation and compliance because that is what we do.#N#Your doctor needs to document that he is initiating fracture care. This cannot be assumed. And just writing down the fracture care code does not support billing the code on its own.#N#If your physician is unwilling to state that they are initiating fracture care, then the code is not supported in documentation and cannot be billed.#N#As you coder your job is to verify and make sure that documentation supports every code billed to insurance.

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