2022 ICD-10-CM Code S82.399D
Other fracture of lower end of unspecified tibia, subsequent encounter for closed fracture with routine healing
Code Classification
S82.399D is a billable diagnosis code used to specify a medical diagnosis of other fracture of lower end of unspecified tibia, subsequent encounter for closed fracture with routine healing. The code S82.399D is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S82.399D might also be used to specify conditions or terms like closed fracture distal tibia, extra-articular, closed fracture distal tibia, intra-articular, fracture of posterior malleolus, gosselin's fracture, open fracture distal tibia, extra-articular , open fracture distal tibia, intra-articular, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S82.399D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like other fracture of lower end of unspecified tibia for closed fracture with routine healing. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Unspecified diagnosis codes like S82.399D are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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).
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Closed fracture distal tibia, extra-articular
- Closed fracture distal tibia, intra-articular
- Fracture of posterior malleolus
- Gosselin's fracture
- Open fracture distal tibia, extra-articular
- Open fracture distal tibia, intra-articular
- Tillaux fracture
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code S82.399D is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
MS-DRG | MS-DRG Title | MCD | Relative Weight |
---|---|---|---|
559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | 08 | 1.8679 |
560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 08 | 1.0764 |
561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | 08 | 0.7911 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Present on Admission (POA)
S82.399D 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. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert S82.399D to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S82.399D its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- V54.16 - Aftrcre traum fx low leg (Approximate Flag)
Information for Patients
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
- 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.
[Learn More in MedlinePlus]
Peripheral Nerve Disorders
Your peripheral nerves are the ones outside your brain and spinal cord. Like static on a telephone line, peripheral nerve disorders distort or interrupt the messages between the brain and the rest of the body.
There are more than 100 kinds of peripheral nerve disorders. They can affect one nerve or many nerves. Some are the result of other diseases, like diabetic nerve problems. Others, like Guillain-Barre syndrome, happen after a virus infection. Still others are from nerve compression, like carpal tunnel syndrome or thoracic outlet syndrome. In some cases, like complex regional pain syndrome and brachial plexus injuries, the problem begins after an injury. Some people are born with peripheral nerve disorders.
Symptoms often start gradually, and then get worse. They include
- Numbness
- Pain
- Burning or tingling
- Muscle weakness
- Sensitivity to touch
Treatment aims to treat any underlying problem, reduce pain and control symptoms.
NIH: National Institute of Neurological Disorders and Stroke
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
S82 | Fracture of lower leg, including ankle | NON-BILLABLE CODE |
S82.0 | Fracture of patella | NON-BILLABLE CODE |
S82.00 | Unspecified fracture of patella | NON-BILLABLE CODE |
S82.001 | Unspecified fracture of right patella | NON-BILLABLE CODE |
S82.001A | Unspecified fracture of right patella, initial encounter for closed fracture | BILLABLE CODE |
S82.001B | Unspecified fracture of right patella, initial encounter for open fracture type I or II | BILLABLE CODE |
S82.001C | Unspecified fracture of right patella, initial encounter for open fracture type IIIA, IIIB, or IIIC | BILLABLE CODE |
S82.001D | Unspecified fracture of right patella, subsequent encounter for closed fracture with routine healing | BILLABLE CODE |
S82.001E | Unspecified fracture of right patella, subsequent encounter for open fracture type I or II with routine healing | BILLABLE CODE |
S82.001F | Unspecified fracture of right patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing | BILLABLE CODE |
S82.001G | Unspecified fracture of right patella, subsequent encounter for closed fracture with delayed healing | BILLABLE CODE |
S82.001H | Unspecified fracture of right patella, subsequent encounter for open fracture type I or II with delayed healing | BILLABLE CODE |
S82.001J | Unspecified fracture of right patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing | BILLABLE CODE |
S82.001K | Unspecified fracture of right patella, subsequent encounter for closed fracture with nonunion | BILLABLE CODE |
S82.001M | Unspecified fracture of right patella, subsequent encounter for open fracture type I or II with nonunion | BILLABLE CODE |
S82.001N | Unspecified fracture of right patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion | BILLABLE CODE |
S82.001P | Unspecified fracture of right patella, subsequent encounter for closed fracture with malunion | BILLABLE CODE |
S82.001Q | Unspecified fracture of right patella, subsequent encounter for open fracture type I or II with malunion | BILLABLE CODE |
S82.001R | Unspecified fracture of right patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion | BILLABLE CODE |
S82.001S | Unspecified fracture of right patella, sequela | BILLABLE CODE |
S82.002 | Unspecified fracture of left patella | NON-BILLABLE CODE |
S82.002A | Unspecified fracture of left patella, initial encounter for closed fracture | BILLABLE CODE |
S82.002B | Unspecified fracture of left patella, initial encounter for open fracture type I or II | BILLABLE CODE |
S82.002C | Unspecified fracture of left patella, initial encounter for open fracture type IIIA, IIIB, or IIIC | BILLABLE CODE |
S82.002D | Unspecified fracture of left patella, subsequent encounter for closed fracture with routine healing | BILLABLE CODE |
S82.002E | Unspecified fracture of left patella, subsequent encounter for open fracture type I or II with routine healing | BILLABLE CODE |
S82.002F | Unspecified fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing | BILLABLE CODE |
S82.002G | Unspecified fracture of left patella, subsequent encounter for closed fracture with delayed healing | BILLABLE CODE |
S82.002H | Unspecified fracture of left patella, subsequent encounter for open fracture type I or II with delayed healing | BILLABLE CODE |
S82.002J | Unspecified fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing | BILLABLE CODE |
S82.002K | Unspecified fracture of left patella, subsequent encounter for closed fracture with nonunion | BILLABLE CODE |
S82.002M | Unspecified fracture of left patella, subsequent encounter for open fracture type I or II with nonunion | BILLABLE CODE |
S82.002N | Unspecified fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion | BILLABLE CODE |
S82.002P | Unspecified fracture of left patella, subsequent encounter for closed fracture with malunion | BILLABLE CODE |
S82.002Q | Unspecified fracture of left patella, subsequent encounter for open fracture type I or II with malunion | BILLABLE CODE |
S82.002R | Unspecified fracture of left patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion | BILLABLE CODE |
S82.002S | Unspecified fracture of left patella, sequela | BILLABLE CODE |
S82.009 | Unspecified fracture of unspecified patella | NON-BILLABLE CODE |
S82.009A | Unspecified fracture of unspecified patella, initial encounter for closed fracture | BILLABLE CODE |
S82.009B | Unspecified fracture of unspecified patella, initial encounter for open fracture type I or II | BILLABLE CODE |
S82.009C | Unspecified fracture of unspecified patella, initial encounter for open fracture type IIIA, IIIB, or IIIC | BILLABLE CODE |
S82.009D | Unspecified fracture of unspecified patella, subsequent encounter for closed fracture with routine healing | BILLABLE CODE |
S82.009E | Unspecified fracture of unspecified patella, subsequent encounter for open fracture type I or II with routine healing | BILLABLE CODE |
S82.009F | Unspecified fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing | BILLABLE CODE |
S82.009G | Unspecified fracture of unspecified patella, subsequent encounter for closed fracture with delayed healing | BILLABLE CODE |
S82.009H | Unspecified fracture of unspecified patella, subsequent encounter for open fracture type I or II with delayed healing | BILLABLE CODE |
S82.009J | Unspecified fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing | BILLABLE CODE |
S82.009K | Unspecified fracture of unspecified patella, subsequent encounter for closed fracture with nonunion | BILLABLE CODE |
S82.009M | Unspecified fracture of unspecified patella, subsequent encounter for open fracture type I or II with nonunion | BILLABLE CODE |
S82.009N | Unspecified fracture of unspecified patella, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion | BILLABLE CODE |
S82.009P | Unspecified fracture of unspecified patella, subsequent encounter for closed fracture with malunion | BILLABLE CODE |
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)