S82.125A
S82.125A — Nondisplaced fracture of lateral condyle of left tibia, initial encounter for closed fracture
Billable / specific codeICD-10-CMleft
S82.125A is a billable, specific ICD-10-CM code for nondisplaced fracture of lateral condyle of left tibia, initial encounter for closed fracture. It is valid for submission on a claim.
7th character "A" — initial encounter for closed fracture
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
S82.125A 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
S82.125A 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
- A56777Billing and Coding: Total Joint Arthroplasty
- A57311Billing and Coding: Physical Therapy - Home Health
Related codes at this level
Codes that share S82.125. If S82.125A is not quite right, the correct code is usually one of these.
- S82.125BNondisplaced fracture of lateral condyle of left tibia, initial encounter for open fracture type I or II
- S82.125CNondisplaced fracture of lateral condyle of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.125DNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for closed fracture with routine healing
- S82.125ENondisplaced fracture of lateral condyle of left tibia, subsequent encounter for open fracture type I or II with routine healing
- S82.125FNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.125GNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for closed fracture with delayed healing
- S82.125HNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for open fracture type I or II with delayed healing
- S82.125JNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.125KNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for closed fracture with nonunion
- S82.125MNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for open fracture type I or II with nonunion
- S82.125NNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.125PNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for closed fracture with malunion
- S82.125QNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for open fracture type I or II with malunion
- S82.125RNondisplaced fracture of lateral condyle of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.125SNondisplaced fracture of lateral condyle of left tibia, sequela
Questions about S82.125A
- Is S82.125A a billable ICD-10-CM code?
- Yes. S82.125A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.125A 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).