2025 ICD-10-CM Diagnosis Code S82
Fracture of lower leg, including ankle
- ICD-10-CM Code:
- S82
- ICD-10 Code for:
- Fracture of lower leg, including ankle
- Is Billable?
- Not Valid for Submission
- Code Navigator:
S82 is a non-specific and non-billable diagnosis 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 2025 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.
Specific Coding Applicable to 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-CM codes with a higher level of specificity when coding for fracture of lower leg, including ankle:
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 - NON-BILLABLE CODE
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).
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Includes
IncludesThis note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- fracture of malleolus
Type 1 Excludes
Type 1 ExcludesA 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.
- traumatic amputation of lower leg S88
Type 2 Excludes
Type 2 ExcludesA 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.
- fracture of foot, except ankle S92
- periprosthetic fracture around internal prosthetic ankle joint M97.2
- periprosthetic fracture around internal prosthetic implant of knee joint M97.1
7th Character Note
7th Character NoteCertain 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.
- The appropriate 7th character is to be added to all codes from category S82
7th Character
7th CharacterIndicates that a seventh character is to be assigned to codes in a subcategory.
- A - initial encounter for closed fracture
- B - initial encounter for open fracture type I or II
- initial encounter for open fracture NOS
- 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
- A fracture not indicated as displaced or nondisplaced should be coded to displaced
- A fracture not indicated as open or closed should be coded to closed
- The open fracture designations are based on the Gustilo open fracture classification
Patient Education
Fractures
What is a fracture?
A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.
What are the different types of fractures?
There are different ways to describe fractures. For example, there are different types of fractures based on:
- Whether the bone is partially or completely broken.
- Whether the bone breaks through the skin; if it does, it's called an open (or compound) fracture. If not, it's a closed fracture.
- The direction or shape of the break, for example if it's in a line across the bone or if it has some kind of pattern.
- The cause of the break. For example, a stress fracture is a small break in a bone that is often caused by overuse.
- Which bone is broken, for example facial fractures include nose and jaw fractures.
What causes fractures?
Fractures commonly happen because of car accidents, falls, or sports injuries. Overuse and repetitive motions can also cause fractures.
Low bone density and osteoporosis are conditions which cause weakening of your bones. Having one of these conditions makes you much more likely to break a bone.
What are the symptoms of a fracture?
The symptoms of a fracture can vary, depending on which bone you broke. But they may include:
- Intense pain
- Deformity, for example a limb that looks out of place
- Swelling, bruising, or tenderness around the injury
- Trouble moving the injured part
If you think that you may have broken a bone, get medical care right away.
How are fractures diagnosed?
To find out if you have a fracture, your health provider will do a physical exam and ask about your injury. They will also likely order an x-ray or other imaging test to see if your bone is broken.
What are the treatments for fractures?
The most common treatment for a fracture is for you to wear a cast or a splint. This will keep your bone from moving while it heals. How long you need to wear it will depend on the type of fracture and which bone is affected. But it's often for several weeks. Your provider will let you when you can get it off.
In some cases, you may need surgery to put in plates, pins, or screws to keep the bone in place.
Can fractures be prevented?
There are steps you can take to lower your risk of fractures:
- Keeping your bones strong by:
- Getting enough calcium and vitamin D in your diet
- Getting regular physical activity, including weight bearing exercises such as walking, tennis, and dancing
- Getting treatment for low bone density or osteoporosis (if needed)
- Wearing protective equipment when you do sports
- Preventing falls by:
- Getting rid of any tripping hazards in your home
- Being careful when walking on wet or icy surfaces
- Choosing the right footwear
[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
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.