S82.431M
S82.431M — Displaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type I or II with nonunion
Billable / specific codeICD-10-CMPOA exemptright
S82.431M is a billable, specific ICD-10-CM code for displaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type i or ii with nonunion. It is valid for submission on a claim.
7th character "M" — subsequent encounter for open fracture type I or II with nonunion
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
S82.431M 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
S82.431M is named in 5 Medicare coverage policies — 5 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
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S82.431. If S82.431M is not quite right, the correct code is usually one of these.
- S82.431ADisplaced oblique fracture of shaft of right fibula, initial encounter for closed fracture
- S82.431BDisplaced oblique fracture of shaft of right fibula, initial encounter for open fracture type I or II
- S82.431CDisplaced oblique fracture of shaft of right fibula, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S82.431DDisplaced oblique fracture of shaft of right fibula, subsequent encounter for closed fracture with routine healing
- S82.431EDisplaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type I or II with routine healing
- S82.431FDisplaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S82.431GDisplaced oblique fracture of shaft of right fibula, subsequent encounter for closed fracture with delayed healing
- S82.431HDisplaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type I or II with delayed healing
- S82.431JDisplaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S82.431KDisplaced oblique fracture of shaft of right fibula, subsequent encounter for closed fracture with nonunion
- S82.431NDisplaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S82.431PDisplaced oblique fracture of shaft of right fibula, subsequent encounter for closed fracture with malunion
- S82.431QDisplaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type I or II with malunion
- S82.431RDisplaced oblique fracture of shaft of right fibula, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S82.431SDisplaced oblique fracture of shaft of right fibula, sequela
Questions about S82.431M
- Is S82.431M a billable ICD-10-CM code?
- Yes. S82.431M is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S82.431M 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).