S82.312S
S82.312S — Torus fracture of lower end of left tibia, sequela
Billable / specific codeICD-10-CMPOA exemptleft
S82.312S is a billable, specific ICD-10-CM code for torus fracture of lower end of left 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 in subcategory S82.31
- A
- initial encounter for closed fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- S
- sequela
Risk adjustment
S82.312S 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
S82.312S 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
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
Related codes at this level
Codes that share S82.312. If S82.312S is not quite right, the correct code is usually one of these.
- S82.312ATorus fracture of lower end of left tibia, initial encounter for closed fracture
- S82.312DTorus fracture of lower end of left tibia, subsequent encounter for fracture with routine healing
- S82.312GTorus fracture of lower end of left tibia, subsequent encounter for fracture with delayed healing
- S82.312KTorus fracture of lower end of left tibia, subsequent encounter for fracture with nonunion
- S82.312PTorus fracture of lower end of left tibia, subsequent encounter for fracture with malunion
Questions about S82.312S
- Is S82.312S a billable ICD-10-CM code?
- Yes. S82.312S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.312S 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).