S82.225R: Nondisplaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S82.225R is a billable, specific ICD-10-CM code for nondisplaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type iiia, iiib, or iiic with malunion. It is valid for submission on a claim.
Check S82.225R with the rest of the claim: free scrubber7th character "R": subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
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
Excludes1 inherited from the categories above S82.225R
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S82.225R
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S82.225R
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S82.225R is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S82.225
- S82.225ANondisplaced transverse fracture of shaft of left tibia, initial encounter for closed fracture
- S82.225BNondisplaced transverse fracture of shaft of left tibia, initial encounter for open fracture type I or II
- S82.225CNondisplaced transverse fracture of shaft of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.225DNondisplaced transverse fracture of shaft of left tibia, subsequent encounter for closed fracture with routine healing
- S82.225ENondisplaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with routine healing
- S82.225FNondisplaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.225GNondisplaced transverse fracture of shaft of left tibia, subsequent encounter for closed fracture with delayed healing
- S82.225HNondisplaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with delayed healing
- S82.225JNondisplaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.225KNondisplaced transverse fracture of shaft of left tibia, subsequent encounter for closed fracture with nonunion
- S82.225MNondisplaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with nonunion
- S82.225NNondisplaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.225PNondisplaced transverse fracture of shaft of left tibia, subsequent encounter for closed fracture with malunion
- S82.225QNondisplaced transverse fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with malunion
- S82.225SNondisplaced transverse fracture of shaft of left tibia, sequela