S82.242C
S82.242C: Displaced spiral fracture of shaft of left tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
Billable / specific codeICD-10-CMleft
S82.242C is a billable, specific ICD-10-CM code for displaced spiral fracture of shaft of left tibia, initial encounter for open fracture type iiia, iiib, or iiic. It is valid for submission on a claim.
Check S82.242C with the rest of the claim: free scrubber7th 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
Excludes1 inherited from the categories above S82.242C
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S82.242C
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S82.242C
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
S82.242C is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A56900Billing and Coding: Immunizations
- A57311Billing and Coding: Physical Therapy - Home Health
- A57685Billing and Coding: Total Knee Arthroplasty
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S82.242
- S82.242ADisplaced spiral fracture of shaft of left tibia, initial encounter for closed fracture
- S82.242BDisplaced spiral fracture of shaft of left tibia, initial encounter for open fracture type I or II
- S82.242DDisplaced spiral fracture of shaft of left tibia, subsequent encounter for closed fracture with routine healing
- S82.242EDisplaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with routine healing
- S82.242FDisplaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.242GDisplaced spiral fracture of shaft of left tibia, subsequent encounter for closed fracture with delayed healing
- S82.242HDisplaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with delayed healing
- S82.242JDisplaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.242KDisplaced spiral fracture of shaft of left tibia, subsequent encounter for closed fracture with nonunion
- S82.242MDisplaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with nonunion
- S82.242NDisplaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.242PDisplaced spiral fracture of shaft of left tibia, subsequent encounter for closed fracture with malunion
- S82.242QDisplaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type I or II with malunion
- S82.242RDisplaced spiral fracture of shaft of left tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.242SDisplaced spiral fracture of shaft of left tibia, sequela