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ICD10 for Patellar Fracture in patient with TKR

  1. Default ICD10 for Patellar Fracture in patient with TKR
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    I am uncertain as to which code to use when coding for a patella fracture due to a fall in a patient who has a previous total knee replacement. I see that the S82__ is for the traumatic fracture, however since the patient's joint is a prosthetic implant, I was leaning towards the T84_ series of codes for complications of internal orthopedic prosthetic device. However, I see conflicting information. Would someone please give me clarification and the documentation to support the recommended code choice?

    Thanks in advance.
    Vickie Simpson, CPC, CPMA
    Grand View Medical Practices

  2. #2
    Culver City, California

    I just looked for this about a month ago and found the answer in the Coding Clinic publication listed below. I wasn't sure if we are allowed to copy the text here, it says code the traumatic fracture first and the M97-periprosthetic code second.

    Year: 2016
    Issue: Fourth Quarter
    Title: I10 Periprosthetic Fractures, p 42
    NUMBER 4 2016, Page 42

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