ICD-10 Code S82.266J

Nondisplaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing

Version 2019 Billable Code POA Exempt
ICD-10: S82.266J
Short Description:Nondisp seg fx shaft of unsp tibia, 7thJ
Long Description:Nondisplaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing

Valid for Submission

ICD-10 S82.266J is a billable code used to specify a medical diagnosis of nondisplaced segmental fracture of shaft of unspecified tibia, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

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)

Information for Medical Professionals

Convert S82.266J to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • V54.16 - Aftrcre traum fx low leg (Approximate Flag)

Present on Admission (POA)

S82.266J is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Information for Patients


Fractures

Also called: Broken bone

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

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

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.

  • Broken bone (Medical Encyclopedia)
  • Closed reduction of a fractured bone (Medical Encyclopedia)
  • Closed reduction of a fractured bone - aftercare (Medical Encyclopedia)

[Learn More]

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.

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.

  • Blount disease (Medical Encyclopedia)
  • Bowlegs (Medical Encyclopedia)
  • Common peroneal nerve dysfunction (Medical Encyclopedia)
  • Femoral nerve dysfunction (Medical Encyclopedia)
  • Femur fracture repair - discharge (Medical Encyclopedia)
  • Foot, leg, and ankle swelling (Medical Encyclopedia)
  • Iliotibial band syndrome -- aftercare (Medical Encyclopedia)
  • Ischemic ulcers -- self-care (Medical Encyclopedia)
  • Knock knees (Medical Encyclopedia)
  • Leg pain (Medical Encyclopedia)
  • Shin splints - self-care (Medical Encyclopedia)
  • Tibial nerve dysfunction (Medical Encyclopedia)
  • Venous insufficiency (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.