ICD 10 CM S82.023D | Description & Clinical Information

ICD 10 S82.023D describes a type of knee injury characterized by a vertical break or discontinuity in the knee cap, resulting in a loss of alignment of the fracture fragments, which can be caused by a variety of factors such as falling on the knees, a direct forceful blow, excessive and forcible bending of the knee, sports activities, or a traffic accident, 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 normally healing closed fracture that has not been exposed through a tear or laceration in the skin.

Official Description Of S82.023D

The ICD 10 CM book defines ICD 10 code S82.023D as:

When To Use S82.023D

The diagnosis describes by ICD 10 CM S82.023D is a serious condition that affects the patella or kneecap. Patients with this diagnosis are likely to experience severe pain on weightbearing, as well as abnormal accumulation of fluid (effusion) and bleeding (hemarthrosis) in the joint. Other symptoms may include bruising over the affected area, inability to straighten the knee, restricted range of motion, deformity, and stiffness.

When a patient presents with these symptoms, healthcare providers will typically diagnose the condition based on their medical history and a physical examination. The provider may also order laboratory studies and imaging techniques such as X-rays or computed tomography. X-rays may include the AP, lateral, and oblique views of the knee with Merchant or axial (frontal) views, taken with the knee partially flexed.

Depending on the severity of the fracture, patients may need to undergo surgery to close an open wound. Open fractures are those in which the skin is broken, making the risk of infection much greater. However, stable and closed fractures are less severe and rarely require surgery. In these cases, a splint or cast may be used to immobilize the knee.

Patients with unstable fractures may need a reduction and fixation. A reduction is the process of returning bones to their original position, and fixation refers to the use of metal plates, screws or rods to hold the bones in place until they heal.

In some cases, the provider may also perform arthroscopy to examine the inside of the knee joint. This procedure can involve the removal of loose fragments of bone or tissue, as well as repairing any damage to connective tissues and joint lining. Additionally, the provider may aspirate or suction out fluid or blood through a needle placed into the joint.

Other treatment options for patients with this diagnosis include the use of narcotic analgesics or nonsteroidal anti-inflammatory drugs to manage pain. Antibiotics may also be prescribed for patients who are at risk of infection. As patients heal, they may gradually begin to bear weight and engage in exercises to improve flexibility, strength, and range of motion.

It’s worth noting that prompt and appropriate diagnosis and treatment are crucial for a full recovery from this condition. Patients should seek medical attention immediately if they experience any of the symptoms mentioned above. A healthcare professional can assess the extent of the injury and recommend the best course of treatment to ensure the best possible outcome.