S82.264C
S82.264C: Nondisplaced segmental fracture of shaft of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
Billable / specific codeICD-10-CMright
S82.264C is a billable, specific ICD-10-CM code for nondisplaced segmental fracture of shaft of right tibia, initial encounter for open fracture type iiia, iiib, or iiic. It is valid for submission on a claim.
Check S82.264C 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 S82.264C
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S82.264C
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S82.264C
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
S82.264C 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 S82.264
- S82.264ANondisplaced segmental fracture of shaft of right tibia, initial encounter for closed fracture
- S82.264BNondisplaced segmental fracture of shaft of right tibia, initial encounter for open fracture type I or II
- S82.264DNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for closed fracture with routine healing
- S82.264ENondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with routine healing
- S82.264FNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.264GNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for closed fracture with delayed healing
- S82.264HNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with delayed healing
- S82.264JNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.264KNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for closed fracture with nonunion
- S82.264MNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with nonunion
- S82.264NNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.264PNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for closed fracture with malunion
- S82.264QNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with malunion
- S82.264RNondisplaced segmental fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.264SNondisplaced segmental fracture of shaft of right tibia, sequela