S82.042B
S82.042B: Displaced comminuted fracture of left patella, initial encounter for open fracture type I or II
Billable / specific codeICD-10-CMleft
S82.042B is a billable, specific ICD-10-CM code for displaced comminuted fracture of left patella, initial encounter for open fracture type i or ii. It is valid for submission on a claim.
Check S82.042B with the rest of the claim: free scrubber7th character "B": initial encounter for open fracture type I or II
The appropriate 7th character is to be added to all codes from category S82
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture type I or II
- C
- initial encounter for open fracture type IIIA, IIIB, or IIIC
- D
- subsequent encounter for closed fracture with routine healing
- E
- subsequent encounter for open fracture type I or II with routine healing
- F
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- G
- subsequent encounter for closed fracture with delayed healing
- H
- subsequent encounter for open fracture type I or II with delayed healing
- J
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- K
- subsequent encounter for closed fracture with nonunion
- M
- subsequent encounter for open fracture type I or II with nonunion
- N
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- P
- subsequent encounter for closed fracture with malunion
- Q
- subsequent encounter for open fracture type I or II with malunion
- R
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S
- sequela
Excludes1 inherited from the categories above S82.042B
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S82.042B
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S82.042B
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S82.042B is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56900Billing and Coding: Immunizations
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S82.042
- S82.042ADisplaced comminuted fracture of left patella, initial encounter for closed fracture
- S82.042CDisplaced comminuted fracture of left patella, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.042DDisplaced comminuted fracture of left patella, subsequent encounter for closed fracture with routine healing
- S82.042EDisplaced comminuted fracture of left patella, subsequent encounter for open fracture type I or II with routine healing
- S82.042FDisplaced comminuted fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.042GDisplaced comminuted fracture of left patella, subsequent encounter for closed fracture with delayed healing
- S82.042HDisplaced comminuted fracture of left patella, subsequent encounter for open fracture type I or II with delayed healing
- S82.042JDisplaced comminuted fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.042KDisplaced comminuted fracture of left patella, subsequent encounter for closed fracture with nonunion
- S82.042MDisplaced comminuted fracture of left patella, subsequent encounter for open fracture type I or II with nonunion
- S82.042NDisplaced comminuted fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.042PDisplaced comminuted fracture of left patella, subsequent encounter for closed fracture with malunion
- S82.042QDisplaced comminuted fracture of left patella, subsequent encounter for open fracture type I or II with malunion
- S82.042RDisplaced comminuted fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.042SDisplaced comminuted fracture of left patella, sequela