ICD 10 CM S82.013M | Description & Clinical Information

ICD 10 S82.013M describes a specific type of knee injury characterized by a displaced osteochondral fracture of the patella, which occurs when the knee cap breaks or separates from the joint cartilage underneath it, resulting in misalignment of the fracture fragments and typically caused by falls, direct blows, hyperflexion of the knee, sports activities, or traffic accidents, and in this particular case, the provider has not specified whether the fracture involves the right or left patella at a subsequent encounter for a Gustilo type I or II open fracture that is exposed through a tear or laceration in the skin caused by displaced fragments or external trauma and has failed to heal.

Official Description Of S82.013M

The ICD 10 CM book defines ICD 10 code S82.013M as:

When To Use S82.013M

The diagnosis describes by the ICD 10 CM S82.013M code refers to a condition known as a displaced osteochondral fracture of an unspecified patella. This type of injury can be extremely uncomfortable, and it leads to a range of symptoms that can make it difficult to move and straighten the knee joint.

Some of the signs that patients experience with this diagnosis include severe pain when weightbearing, bruising over the affected site, and stiffness in the knee joint. Patients may also experience effusion, which is an abnormal fluid collection, and hemarthrosis or bleeding in the joint.

To diagnose this condition, providers will consider the patient’s history and perform a physical examination. They may also conduct laboratory studies to determine whether additional testing is necessary. Imaging techniques such as X-rays, with AP, lateral, and oblique views, as well as Merchant or axial (frontal) views with the knee partially flexed, or computed tomography scans, may be necessary to get a more in-depth understanding of the injury.

The treatment for this type of injury depends on the type of fracture. In cases where the fracture is stable and closed, a splint or cast may be enough to immobilize the knee and promote healing. However, for unstable fractures, reduction and fixation may be necessary. In the case of open fractures, surgery is typically required to close the wound.

In some cases, a provider may perform arthroscopy to closely examine the inside of the knee joint. During this procedure, they can remove loose fragments of bone or tissue and repair damaged connective tissues and joint lining. They may also need to aspirate fluid or blood through a needle placed into the joint.

To manage the pain associated with this condition, a provider may prescribe narcotic analgesics and/or nonsteroidal anti-inflammatory drugs, depending on the severity of the pain. Patients may also require antibiotics to prevent or treat infection.

Over time, patients may need to participate in exercises to improve flexibility, strength, and range of motion as healing progresses. Rehabilitation may include gradual weightbearing and exercises to help the knee joint return to its normal function.

Overall, a displaced osteochondral fracture of an unspecified patella can be painful and inconvenient to manage. However, it is important to seek prompt medical attention and adhere to the prescribed treatment plan to promote proper healing and prevent complications.