S82.291S
S82.291S — Other fracture of shaft of right tibia, sequela
Billable / specific codeICD-10-CMPOA exemptright
S82.291S is a billable, specific ICD-10-CM code for other fracture of shaft of right 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 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
S82.291S 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
S82.291S is named in 6 Medicare coverage policies — 6 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
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
Related codes at this level
Codes that share S82.291. If S82.291S is not quite right, the correct code is usually one of these.
- S82.291AOther fracture of shaft of right tibia, initial encounter for closed fracture
- S82.291BOther fracture of shaft of right tibia, initial encounter for open fracture type I or II
- S82.291COther fracture of shaft of right tibia, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.291DOther fracture of shaft of right tibia, subsequent encounter for closed fracture with routine healing
- S82.291EOther fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with routine healing
- S82.291FOther fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.291GOther fracture of shaft of right tibia, subsequent encounter for closed fracture with delayed healing
- S82.291HOther fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with delayed healing
- S82.291JOther fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.291KOther fracture of shaft of right tibia, subsequent encounter for closed fracture with nonunion
- S82.291MOther fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with nonunion
- S82.291NOther fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.291POther fracture of shaft of right tibia, subsequent encounter for closed fracture with malunion
- S82.291QOther fracture of shaft of right tibia, subsequent encounter for open fracture type I or II with malunion
- S82.291ROther fracture of shaft of right tibia, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Questions about S82.291S
- Is S82.291S a billable ICD-10-CM code?
- Yes. S82.291S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.291S 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).