2022 ICD-10-CM Code S82.87
Pilon fracture of tibia

Version 2022
ICD-10:S82.87
Short Description:Pilon fracture of tibia
Long Description:Pilon fracture of tibia
Status: Not Valid for Submission

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)

S82.87 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of pilon fracture of tibia. The code is not specific and is NOT valid for the year 2022 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 Pilon fracture of tibia

Non-specific codes like S82.87 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 pilon fracture of tibia:

  • NON-BILLABLE CODE - S82.871 for Displaced pilon fracture of right tibia
  • BILLABLE CODE - Use S82.871A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.871B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.871C for or IIIC
  • BILLABLE CODE - Use S82.871D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.871E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.871F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.871G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.871H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.871J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.871K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.871M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.871N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.871P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.871Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.871R for or IIIC with malunion
  • BILLABLE CODE - Use S82.871S for sequela
  • NON-BILLABLE CODE - S82.872 for Displaced pilon fracture of left tibia
  • BILLABLE CODE - Use S82.872A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.872B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.872C for or IIIC
  • BILLABLE CODE - Use S82.872D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.872E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.872F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.872G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.872H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.872J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.872K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.872M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.872N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.872P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.872Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.872R for or IIIC with malunion
  • BILLABLE CODE - Use S82.872S for sequela
  • NON-BILLABLE CODE - S82.873 for Displaced pilon fracture of unspecified tibia
  • BILLABLE CODE - Use S82.873A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.873B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.873C for or IIIC
  • BILLABLE CODE - Use S82.873D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.873E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.873F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.873G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.873H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.873J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.873K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.873M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.873N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.873P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.873Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.873R for or IIIC with malunion
  • BILLABLE CODE - Use S82.873S for sequela
  • NON-BILLABLE CODE - S82.874 for Nondisplaced pilon fracture of right tibia
  • BILLABLE CODE - Use S82.874A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.874B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.874C for or IIIC
  • BILLABLE CODE - Use S82.874D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.874E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.874F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.874G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.874H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.874J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.874K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.874M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.874N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.874P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.874Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.874R for or IIIC with malunion
  • BILLABLE CODE - Use S82.874S for sequela
  • NON-BILLABLE CODE - S82.875 for Nondisplaced pilon fracture of left tibia
  • BILLABLE CODE - Use S82.875A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.875B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.875C for or IIIC
  • BILLABLE CODE - Use S82.875D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.875E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.875F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.875G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.875H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.875J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.875K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.875M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.875N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.875P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.875Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.875R for or IIIC with malunion
  • BILLABLE CODE - Use S82.875S for sequela
  • NON-BILLABLE CODE - S82.876 for Nondisplaced pilon fracture of unspecified tibia
  • BILLABLE CODE - Use S82.876A for initial encounter for closed fracture
  • BILLABLE CODE - Use S82.876B for initial encounter for open fracture type I or II
  • BILLABLE CODE - Use S82.876C for or IIIC
  • BILLABLE CODE - Use S82.876D for subsequent encounter for closed fracture with routine healing
  • BILLABLE CODE - Use S82.876E for subsequent encounter for open fracture type I or II with routine healing
  • BILLABLE CODE - Use S82.876F for or IIIC with routine healing
  • BILLABLE CODE - Use S82.876G for subsequent encounter for closed fracture with delayed healing
  • BILLABLE CODE - Use S82.876H for subsequent encounter for open fracture type I or II with delayed healing
  • BILLABLE CODE - Use S82.876J for or IIIC with delayed healing
  • BILLABLE CODE - Use S82.876K for subsequent encounter for closed fracture with nonunion
  • BILLABLE CODE - Use S82.876M for subsequent encounter for open fracture type I or II with nonunion
  • BILLABLE CODE - Use S82.876N for or IIIC with nonunion
  • BILLABLE CODE - Use S82.876P for subsequent encounter for closed fracture with malunion
  • BILLABLE CODE - Use S82.876Q for subsequent encounter for open fracture type I or II with malunion
  • BILLABLE CODE - Use S82.876R for or IIIC with malunion
  • BILLABLE CODE - Use S82.876S for sequela

Entries in the Index to Diseases and Injuries with references to S82.87

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code S82.87 are found in the index:

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

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

  • 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)