S82 - Fracture of lower leg, including ankle

Version 2023
ICD-10:S82
Short Description:Fracture of lower leg, including ankle
Long Description:Fracture of lower leg, including ankle
Status: Not Valid for Submission
Version:ICD-10-CM 2023
Code Classification:
  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the knee and lower leg (S80-S89)
      • Fracture of lower leg, including ankle (S82)

S82 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of fracture of lower leg, including ankle. The code is not specific and is NOT valid for the year 2023 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Specific Coding for Fracture of lower leg, including ankle

Non-specific codes like S82 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for fracture of lower leg, including ankle:

  • NON-BILLABLE CODE - S82.0 for Fracture of patella
  • NON-BILLABLE CODE - S82.00 for Unspecified fracture of patella
  • NON-BILLABLE CODE - S82.01 for Osteochondral fracture of patella
  • NON-BILLABLE CODE - S82.02 for Longitudinal fracture of patella
  • NON-BILLABLE CODE - S82.03 for Transverse fracture of patella
  • NON-BILLABLE CODE - S82.04 for Comminuted fracture of patella
  • NON-BILLABLE CODE - S82.09 for Other fracture of patella
  • NON-BILLABLE CODE - S82.1 for Fracture of upper end of tibia
  • NON-BILLABLE CODE - S82.10 for Unspecified fracture of upper end of tibia
  • NON-BILLABLE CODE - S82.11 for Fracture of tibial spine
  • NON-BILLABLE CODE - S82.12 for Fracture of lateral condyle of tibia
  • NON-BILLABLE CODE - S82.13 for Fracture of medial condyle of tibia
  • NON-BILLABLE CODE - S82.14 for Bicondylar fracture of tibia
  • NON-BILLABLE CODE - S82.15 for Fracture of tibial tuberosity
  • NON-BILLABLE CODE - S82.16 for Torus fracture of upper end of tibia
  • NON-BILLABLE CODE - S82.19 for Other fracture of upper end of tibia
  • NON-BILLABLE CODE - S82.2 for Fracture of shaft of tibia
  • NON-BILLABLE CODE - S82.20 for Unspecified fracture of shaft of tibia
  • NON-BILLABLE CODE - S82.22 for Transverse fracture of shaft of tibia
  • NON-BILLABLE CODE - S82.23 for Oblique fracture of shaft of tibia
  • NON-BILLABLE CODE - S82.24 for Spiral fracture of shaft of tibia
  • NON-BILLABLE CODE - S82.25 for Comminuted fracture of shaft of tibia
  • NON-BILLABLE CODE - S82.26 for Segmental fracture of shaft of tibia
  • NON-BILLABLE CODE - S82.29 for Other fracture of shaft of tibia
  • NON-BILLABLE CODE - S82.3 for Fracture of lower end of tibia
  • NON-BILLABLE CODE - S82.30 for Unspecified fracture of lower end of tibia
  • NON-BILLABLE CODE - S82.31 for Torus fracture of lower end of tibia
  • NON-BILLABLE CODE - S82.39 for Other fracture of lower end of tibia
  • NON-BILLABLE CODE - S82.4 for Fracture of shaft of fibula
  • NON-BILLABLE CODE - S82.40 for Unspecified fracture of shaft of fibula
  • NON-BILLABLE CODE - S82.42 for Transverse fracture of shaft of fibula
  • NON-BILLABLE CODE - S82.43 for Oblique fracture of shaft of fibula
  • NON-BILLABLE CODE - S82.44 for Spiral fracture of shaft of fibula
  • NON-BILLABLE CODE - S82.45 for Comminuted fracture of shaft of fibula
  • NON-BILLABLE CODE - S82.46 for Segmental fracture of shaft of fibula
  • NON-BILLABLE CODE - S82.49 for Other fracture of shaft of fibula
  • NON-BILLABLE CODE - S82.5 for Fracture of medial malleolus
  • NON-BILLABLE CODE - S82.51 for Displaced fracture of medial malleolus of right tibia
  • NON-BILLABLE CODE - S82.52 for Displaced fracture of medial malleolus of left tibia
  • NON-BILLABLE CODE - S82.53 for Displaced fracture of medial malleolus of unspecified tibia
  • NON-BILLABLE CODE - S82.54 for Nondisplaced fracture of medial malleolus of right tibia
  • NON-BILLABLE CODE - S82.55 for Nondisplaced fracture of medial malleolus of left tibia
  • NON-BILLABLE CODE - S82.56 for Nondisplaced fracture of medial malleolus of unspecified tibia
  • NON-BILLABLE CODE - S82.6 for Fracture of lateral malleolus
  • NON-BILLABLE CODE - S82.61 for Displaced fracture of lateral malleolus of right fibula
  • NON-BILLABLE CODE - S82.62 for Displaced fracture of lateral malleolus of left fibula
  • NON-BILLABLE CODE - S82.63 for Displaced fracture of lateral malleolus of unspecified fibula
  • NON-BILLABLE CODE - S82.64 for Nondisplaced fracture of lateral malleolus of right fibula
  • NON-BILLABLE CODE - S82.65 for Nondisplaced fracture of lateral malleolus of left fibula
  • NON-BILLABLE CODE - S82.66 for Nondisplaced fracture of lateral malleolus of unspecified fibula
  • NON-BILLABLE CODE - S82.8 for Other fractures of lower leg
  • NON-BILLABLE CODE - S82.81 for Torus fracture of upper end of fibula
  • NON-BILLABLE CODE - S82.82 for Torus fracture of lower end of fibula
  • NON-BILLABLE CODE - S82.83 for Other fracture of upper and lower end of fibula
  • NON-BILLABLE CODE - S82.84 for Bimalleolar fracture of lower leg
  • NON-BILLABLE CODE - S82.85 for Trimalleolar fracture of lower leg
  • NON-BILLABLE CODE - S82.86 for Maisonneuve's fracture
  • NON-BILLABLE CODE - S82.87 for Pilon fracture of tibia
  • NON-BILLABLE CODE - S82.89 for Other fractures of lower leg
  • NON-BILLABLE CODE - S82.9 for Unspecified fracture of lower leg
  • NON-BILLABLE CODE - S82.90 for Unspecified fracture of unspecified lower leg
  • NON-BILLABLE CODE - S82.91 for Unspecified fracture of right lower leg
  • NON-BILLABLE CODE - S82.92 for Unspecified fracture of left lower leg

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.

Patient Education


Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Leg Injuries and Disorders

Your legs are made up of bones, blood vessels, muscles, and other connective tissue. They are important for motion and standing. Playing sports, running, falling, or having an accident can damage your legs. Common leg injuries include sprains and strains, joint dislocations, and fractures (broken bones).

These injuries can affect the entire leg, or just the foot, ankle, knee, or hip. Certain diseases also lead to leg problems. For example, knee osteoarthritis, common in older people, can cause pain and limited motion. Problems in your veins in your legs can lead to varicose veins or deep vein thrombosis.


[Learn More in MedlinePlus]

Code History