S82.101C
S82.101C — Unspecified fracture of upper end of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
Billable / specific codeICD-10-CMright
S82.101C is a billable, specific ICD-10-CM code for unspecified fracture of upper end of right tibia, initial encounter for open fracture type iiia, iiib, or iiic. It is valid for submission on a claim.
7th character "C" — initial encounter for open fracture type IIIA, IIIB, or IIIC
The appropriate 7th character is to be added to all codes from category S82
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture type I or II
- 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
Risk adjustment
S82.101C does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S82.101C is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52465Knee Orthoses - Policy Article
- A52465Knee Orthoses - Policy Article
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A57685Billing and Coding: Total Knee Arthroplasty
Related codes at this level
Codes that share S82.101. If S82.101C is not quite right, the correct code is usually one of these.
- S82.101AUnspecified fracture of upper end of right tibia, initial encounter for closed fracture
- S82.101BUnspecified fracture of upper end of right tibia, initial encounter for open fracture type I or II
- S82.101DUnspecified fracture of upper end of right tibia, subsequent encounter for closed fracture with routine healing
- S82.101EUnspecified fracture of upper end of right tibia, subsequent encounter for open fracture type I or II with routine healing
- S82.101FUnspecified fracture of upper end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.101GUnspecified fracture of upper end of right tibia, subsequent encounter for closed fracture with delayed healing
- S82.101HUnspecified fracture of upper end of right tibia, subsequent encounter for open fracture type I or II with delayed healing
- S82.101JUnspecified fracture of upper end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.101KUnspecified fracture of upper end of right tibia, subsequent encounter for closed fracture with nonunion
- S82.101MUnspecified fracture of upper end of right tibia, subsequent encounter for open fracture type I or II with nonunion
- S82.101NUnspecified fracture of upper end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.101PUnspecified fracture of upper end of right tibia, subsequent encounter for closed fracture with malunion
- S82.101QUnspecified fracture of upper end of right tibia, subsequent encounter for open fracture type I or II with malunion
- S82.101RUnspecified fracture of upper end of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.101SUnspecified fracture of upper end of right tibia, sequela
Questions about S82.101C
- Is S82.101C a billable ICD-10-CM code?
- Yes. S82.101C is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.101C sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the knee and lower leg (S80-S89).