S82.043S
S82.043S — Displaced comminuted fracture of unspecified patella, sequela
Billable / specific codeICD-10-CMPOA exempt
S82.043S is a billable, specific ICD-10-CM code for displaced comminuted fracture of unspecified patella, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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
Risk adjustment
S82.043S does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S82.043S is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53064Billing and Coding: Outpatient Occupational Therapy
Related codes at this level
Codes that share S82.043. If S82.043S is not quite right, the correct code is usually one of these.
- S82.043ADisplaced comminuted fracture of unspecified patella, initial encounter for closed fracture
- S82.043BDisplaced comminuted fracture of unspecified patella, initial encounter for open fracture type I or II
- S82.043CDisplaced comminuted fracture of unspecified patella, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.043DDisplaced comminuted fracture of unspecified patella, subsequent encounter for closed fracture with routine healing
- S82.043EDisplaced comminuted fracture of unspecified patella, subsequent encounter for open fracture type I or II with routine healing
- S82.043FDisplaced comminuted fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.043GDisplaced comminuted fracture of unspecified patella, subsequent encounter for closed fracture with delayed healing
- S82.043HDisplaced comminuted fracture of unspecified patella, subsequent encounter for open fracture type I or II with delayed healing
- S82.043JDisplaced comminuted fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.043KDisplaced comminuted fracture of unspecified patella, subsequent encounter for closed fracture with nonunion
- S82.043MDisplaced comminuted fracture of unspecified patella, subsequent encounter for open fracture type I or II with nonunion
- S82.043NDisplaced comminuted fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.043PDisplaced comminuted fracture of unspecified patella, subsequent encounter for closed fracture with malunion
- S82.043QDisplaced comminuted fracture of unspecified patella, subsequent encounter for open fracture type I or II with malunion
- S82.043RDisplaced comminuted fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Questions about S82.043S
- Is S82.043S a billable ICD-10-CM code?
- Yes. S82.043S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.043S sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the knee and lower leg (S80-S89).