Is S82.169S a billable ICD-10-CM code?

Yes. S82.169S is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S82.169S 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).

S82.169S

S82.169S — Torus fracture of upper end of unspecified tibia, sequela

Billable / specific codeICD-10-CMPOA exempt

S82.169S is a billable, specific ICD-10-CM code for torus fracture of upper end of unspecified tibia, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to all codes in subcategory S82.16

A: initial encounter for closed fracture
D: subsequent encounter for fracture with routine healing
G: subsequent encounter for fracture with delayed healing
K: subsequent encounter for fracture with nonunion
P: subsequent encounter for fracture with malunion
S: sequela

Risk adjustment

S82.169S 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

S82.169S is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53064Billing and Coding: Outpatient Occupational Therapy

Related codes at this level

Codes that share S82.169. If S82.169S is not quite right, the correct code is usually one of these.

Questions about S82.169S

Is S82.169S a billable ICD-10-CM code?: Yes. S82.169S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S82.169S 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).