S82.261B
S82.261B — Displaced segmental fracture of shaft of right tibia, initial encounter for open fracture type I or II
Billable / specific codeICD-10-CMright
S82.261B is a billable, specific ICD-10-CM code for displaced segmental fracture of shaft of right tibia, initial encounter for open fracture type i or ii. It is valid for submission on a claim.
7th character "B" — initial encounter for open fracture type I or II
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
S82.261B 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
S82.261B is named in 7 Medicare coverage policies — 7 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
- A56900Billing and Coding: Immunizations
- A57311Billing and Coding: Physical Therapy - Home Health
Related codes at this level
Codes that share S82.261. If S82.261B is not quite right, the correct code is usually one of these.
- S82.261ADisplaced segmental fracture of shaft of right tibia, initial encounter for closed fracture
- S82.261CDisplaced segmental fracture of shaft of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.261DDisplaced segmental fracture of shaft of right tibia, subsequent encounter for closed fracture with routine healing
- S82.261EDisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with routine healing
- S82.261FDisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.261GDisplaced segmental fracture of shaft of right tibia, subsequent encounter for closed fracture with delayed healing
- S82.261HDisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with delayed healing
- S82.261JDisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.261KDisplaced segmental fracture of shaft of right tibia, subsequent encounter for closed fracture with nonunion
- S82.261MDisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with nonunion
- S82.261NDisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.261PDisplaced segmental fracture of shaft of right tibia, subsequent encounter for closed fracture with malunion
- S82.261QDisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with malunion
- S82.261RDisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.261SDisplaced segmental fracture of shaft of right tibia, sequela
Questions about S82.261B
- Is S82.261B a billable ICD-10-CM code?
- Yes. S82.261B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.261B 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).